Crishina Maggard

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004989 Issued in KY

Practice address

1564 N Broad St Ste 6&7
Tazewell, TN 37879-4352

Phone

(423) 526-6300

NPI assigned

May 10, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cornerstone Physical Therapy LLC

  • Physical Therapist
  • Richmond, KY
  • NPI 1679628267
  NPD (past)

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

{
    "created_epoch": "1210377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1457528325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 SUMMER BREEZE LN",
            "city": "NEW TAZEWELL",
            "state": "TN",
            "postal_code": "378252052",
            "telephone_number": "859-333-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1564 N BROAD ST STE 6&7",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378794352",
            "telephone_number": "423-526-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGGARD",
        "first_name": "CRISHINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Payne Kelley, PHARMD
• Kaitlyn Hope Kincaid, PA-C
• Bonita Marie Lawson
• Lifeline Ambulance Service, Inc.
• Lifetime Family Health Clinic
• George S Malone, OD
• Hannah King Marcum, MSN, APRN, PMHNP-BC
• Amanda Suzanne Martin, APN
• Scott Matson, DO
• Elizabeth Renee McNabb, NP

• Physical Therapist in Tazewell, TN
• Providers in Tazewell, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.