Active NPI
Kristi Kmetz, DPT
- Physical Therapist
- Tulsa, OK
National Provider Identifier
1336548312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4842
- Practice address
- 2417 E 53Rd St
Tulsa, OK 74105-6600 - Phone
- (918) 712-8412
- Fax
- (918) 712-8413
- NPI assigned
- Aug 15, 2014
- Last updated
- Aug 15, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4842 | OK | Primary |
Addresses
Primary practice location
2417 E 53Rd St
Tulsa, OK 74105-6600
Mailing address
5220 S New Haven Ave
Tulsa, OK 74135-3920
Phone (918) 697-4174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8222 S Yale Ave
Tulsa, OK 74137-2246
Phone 9184931200112
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4842 | OK | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
| Tulsa Ergonomic Consultants, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (919) 861-2441
2417 E 53rd St
Tulsa, OK 74105
Phone (918) 351-1781
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Tulsa, OK
- NPI 1598332173
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408060800000",
"number": "1336548312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5220 S NEW HAVEN AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741353920",
"telephone_number": "918-697-4174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2417 E 53RD ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741056600",
"telephone_number": "918-712-8412",
"fax_number": "918-712-8413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KMETZ",
"first_name": "KRISTI",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-15",
"last_updated": "2014-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "4842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.