Active NPI
Kathryn Alane Grist, PT, DPT
- Physical Therapist
- Abingdon, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305212286
- 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, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2305212286 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Physical Therapy | Current | Accepting new patients | |
| Independent Physical Therapy, LLC | Physical Therapist | Current | 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.
-
dba BenchMark PT
- Physical Therapy Clinic/Center
- Chattanooga, TN
- NPI 1023445475
-
dba BenchMark Physical Therapy
- Physical Therapist
- Chattanooga, TN
- NPI 1104878354
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.