Individual provider Active NPI

Kathryn Alane Grist, PT, DPT

  • Physical Therapist
  • Abingdon, VA
National Provider Identifier
1407248073
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305212286 Issued in VA
Practice address
26106 Lee Hwy
Abingdon, VA 24211-7502
Phone
(276) 623-0274
Fax
(237) 662-3031
NPI assigned
Feb 19, 2015
Last updated
Dec 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305212286 VA Primary
Physical Therapist 225100000X 10870 TN

Addresses

Primary practice location

26106 Lee Hwy
Abingdon, VA 24211-7502

Mailing address

1200 Corporate Dr Ste 400
Birmingham, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

108 W Summer St
Greeneville, TN 37743-4924
Phone (423) 783-7911

Other practice location 2

806 E Jackson Blvd Ste 15
Jonesborough, TN 37659
Phone (423) 753-2805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305212286VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy CurrentSince Aug 13, 2018 Accepting new patients
Independent Physical Therapy, LLC Physical Therapist CurrentSince Aug 13, 2018 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192

806 E Jackson Blvd
Ste 15
Jonesborough, TN 37659
Phone (423) 753-2805

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1407248073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217",
            "fax_number": "423-254-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26106 LEE HWY",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117502",
            "telephone_number": "276-623-0274",
            "fax_number": "237-662-3031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 W Summer St",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "377434924",
            "country_code": "US",
            "telephone_number": "423-783-7911",
            "fax_number": "423-798-8454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "806 E Jackson Blvd Ste 15",
            "address_purpose": "LOCATION",
            "city": "Jonesborough",
            "state": "TN",
            "postal_code": "37659",
            "country_code": "US",
            "telephone_number": "423-753-2805",
            "fax_number": "423-753-2724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIST",
        "first_name": "KATHRYN",
        "middle_name": "ALANE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-19",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305212286",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "10870",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.