Kriste Joan Erickson, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0826 Issued in ND

Practice address

911 W Interstate Ave
Suite 12 BLDG 3
Bismarck, ND 58503-0955

Phone

(701) 223-8717

Fax

(701) 255-3957

NPI assigned

Sep 6, 2012

Last updated

Sep 6, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kriste Joan Keller Former name

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Lights Physical Therapy Limited PartnershipGroup PAC ID 2163557208, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Northern Lights Physical Therapy Limited Partnership

  • Physical Therapist
  • Bismarck, ND
  • NPI 1760613632
  Medicare reassignment Care Compare group NPD
• Spine, Orthopedic and Pain Center PC

  dba Spine & Pain Center

  • Clinic/Center
  • Bismarck, ND
  • NPI 1639148463
  NPD (past)

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1437408382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 W INTERSTATE AVE",
            "address_2": "SUITE 12 BLDG 3",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030955",
            "telephone_number": "701-223-8717",
            "fax_number": "701-255-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 W INTERSTATE AVE",
            "address_2": "SUITE 12 BLDG 3",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030955",
            "telephone_number": "701-223-8717",
            "fax_number": "701-255-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "KRISTE",
        "middle_name": "JOAN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "0826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTE",
            "last_name": "KELLER",
            "middle_name": "JOAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cassandra Erickson
• Ella Erickson
• Janaye Emily Erickson
• Jay T Erickson, CRNA
• Katelyn Erickson
• Sara Erickson, MS, OTR/L
• Vaneica Erickson
• John A Erickstad, MD
• Mark A Erickstad, MD
• Kori Erikson, OTR/L

• Physical Therapist in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Physical Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.

Verify at the official NPI Registry.