Kristin Lee Fitzgerald, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2013001404 Issued in MO

Practice address

29080 Muncas Ave
Salisbury, MO 65281-2381

Phone

(660) 833-9053

NPI assigned

Apr 3, 2013

Last updated

Nov 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Ms. Kristin Lee Weimer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1366785784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 N BROADWAY",
            "city": "SALISBURY",
            "state": "MO",
            "postal_code": "652811467",
            "telephone_number": "660-833-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29080 MUNCAS AVE",
            "city": "SALISBURY",
            "state": "MO",
            "postal_code": "652812381",
            "telephone_number": "660-833-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "KRISTIN",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2094950",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2013001404",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-02490",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "WEIMER",
            "middle_name": "LEE",
            "prefix": "MS.",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paige Gibler Clark
• Sandra J Clarkson, RNBC FNP
• Compass Health, Inc (Family Dental Center at Salisbury)
• Compass Health, Inc. (Family Health Center at Salisbury)
• Brandon Cooper, PLPC
• Lana M. Harlan, RPH
• Gary Wayne Harris, DDS
• Hils Pharmacy Salisbury LLC (Hils Pharmacy)
• Debra Suzanne Hullender, LPC
• Sara K Leimkuehler, MA, LPC

• Physical Therapy Assistant in Salisbury, MO
• Providers in Salisbury, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.