Krystal Lyn Gaines

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

6120 Issued in TN

Practice address

108 Chesapeake Harbor Blvd
Hendersonville, TN 37075-4732

Phone

(615) 238-4369

NPI assigned

Oct 2, 2015

Last updated

Oct 2, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443744000000",
    "number": "1346610383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 CHESAPEAKE HARBOR BLVD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370754732",
            "telephone_number": "615-238-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CHESAPEAKE HARBOR BLVD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370754732",
            "telephone_number": "615-238-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "KRYSTAL",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "6120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Functional Living Home and Healthcare Services
• Functional Solutions, Inc. (Dynamic Physical & Occupation Therapist)
• Amanda Furgason, RBT
• Bailee Nicole Gad
• Etta Coleen Gaines
• Braiden Galbreath
• Brandon Galgoul
• Gallatin Womens Center, P.C.
• Kristi Galletti, LPC-MHSP
• Candace Gallowitz, DDS

• Physical Therapy Assistant in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.