Active NPI
Krista Lyn Poirier, DPT
- Physical Therapist
- Grand Junction, CO
National Provider Identifier
1417396458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0013094
- Practice address
- 2635 N 7TH St
Grand Junction, CO 81501-8209 - Phone
- (970) 298-2273
- NPI assigned
- Jun 24, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 60390569 | WA | |
| Physical Therapist | 225100000X | 12348-24 | WI | |
| Physical Therapist | 225100000X | PTL.0013094 | CO | Primary |
Addresses
Primary practice location
2635 N 7TH St
Grand Junction, CO 81501-8209
Mailing address
636 N 4TH St
Grand Junction, CO 81501-2518
Phone (507) 272-2315
Other practice location 1
25117 SW Parkway Ave
Suite D
Wilsonville, OR 97070-9697
Phone (503) 570-3665
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 |
|---|---|---|---|
| PTL.0013094 | CO | MD | Physical Therapist |
| 60390569 | WA | MD | Physical Therapist |
| 12348-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582675200000",
"number": "1417396458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "636 N 4TH ST",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815012518",
"telephone_number": "507-272-2315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2635 N 7TH ST",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815018209",
"telephone_number": "970-298-2273"
}
],
"practiceLocations": [
{
"address_1": "25117 SW Parkway Ave",
"address_2": "Suite D",
"address_purpose": "LOCATION",
"city": "Wilsonville",
"state": "OR",
"postal_code": "970709697",
"country_code": "US",
"telephone_number": "503-570-3665",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POIRIER",
"first_name": "KRISTA",
"middle_name": "LYN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-24",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "60390569",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "12348-24",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0013094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.