Active NPI
Kristina R Pearson, PT
- Physical Therapist
- Quitman, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1179905
- Practice address
- 1018 E. Goode St., Suite 102
Quitman, TX 75783-2563 - Phone
- (903) 763-4404
- Fax
- (903) 763-2550
- NPI assigned
- Jun 6, 2012
- 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 | 1179905 | TX | Primary |
Addresses
Primary practice location
1018 E. Goode St., Suite 102
Quitman, TX 75783-2563
Mailing address
1018 E. Goode St., Suite 102
Quitman, TX 75783-2563
Phone (903) 763-4404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121012000229 | TX | Practitioner - Physical Therapist in Private Practice | 1951550672 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Quitman Health Services PLLC
Practice addresses (Care Compare)
1018 E Goode St
Suite 102
Quitman, TX 75783-1641
1018 E Goode St
Suite 102
Quitman, TX 75783-2563
Phone (903) 763-4404
606 E Goode St
Suite 400
Quitman, TX 75783-2563
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1179905 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quitman Health Services, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
1018 E Goode St
Ste 102
Quitman, TX 75783
Phone (903) 763-4404
606 E Goode St
Ste 400
Quitman, TX 75783
Phone (903) 763-4404
1018 E Goode St
#102
Quitman, TX 75783
Phone (903) 763-4404
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Quitman, TX
- NPI 1902032402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1376804252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1018 E. GOODE ST., SUITE 102",
"city": "QUITMAN",
"state": "TX",
"postal_code": "757832563",
"telephone_number": "903-763-4404",
"fax_number": "903-763-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1018 E. GOODE ST., SUITE 102",
"city": "QUITMAN",
"state": "TX",
"postal_code": "757832563",
"telephone_number": "903-763-4404",
"fax_number": "903-763-2550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "KRISTINA",
"middle_name": "R",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-06",
"last_updated": "2024-01-12",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1179905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quitman, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.