Active NPI
Kaitlyn Marissa Pulsipher, PT
- Physical Therapist
- Twin Falls, ID
National Provider Identifier
1417570599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6871
- Practice address
- 1053 Eastland Dr
Twin Falls, ID 83301-6747 - Phone
- (208) 736-9011
- NPI assigned
- May 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 6871 | ID | Primary |
Addresses
Primary practice location
1053 Eastland Dr
Twin Falls, ID 83301-6747
Mailing address
317 Adams St
Twin Falls, ID 83301
Phone (253) 268-9881
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 |
|---|---|---|---|
| 6871 | ID | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590105600000",
"number": "1417570599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 ADAMS ST",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "83301",
"telephone_number": "253-268-9881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1053 EASTLAND DR",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833016747",
"telephone_number": "208-736-9011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULSIPHER",
"first_name": "KAITLYN",
"middle_name": "MARISSA",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-22",
"last_updated": "2020-05-22",
"certification_date": "2020-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "6871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.