Active NPI
Krisha Flores Merto, PT
- Physical Therapist
- El Dorado, AR
National Provider Identifier
1477030609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4464
- Practice address
- 2002 Timberwood Rd
El Dorado, AR 71730-6996 - Phone
- (870) 863-8090
- NPI assigned
- Jul 20, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1275196 | TX | |
| Physical Therapist | 225100000X | 4464 | AR | Primary |
Addresses
Primary practice location
2002 Timberwood Rd
El Dorado, AR 71730-6996
Mailing address
1580 Sawgrass Parkway
Suite 200
Sunrise, FL 33323
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4464 | AR | MD | Dentist |
| 1275196 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532044800000",
"number": "1477030609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1580 SAWGRASS PARKWAY",
"address_2": "SUITE 200",
"city": "SUNRISE",
"state": "FL",
"postal_code": "33323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 TIMBERWOOD RD",
"city": "EL DORADO",
"state": "AR",
"postal_code": "717306996",
"telephone_number": "870-863-8090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERTO",
"first_name": "KRISHA",
"middle_name": "FLORES",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-20",
"last_updated": "2018-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1275196",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "AR",
"license": "4464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Dorado, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.