Krise P Morado, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2108201 Issued in TX

Practice address

111 Parks Village Dr
Odessa, TX 79765-8987

Phone

(432) 563-5707

NPI assigned

Jul 27, 2024

Last updated

Jul 27, 2024By 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

• Kriselda V Pineda Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1722038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722038400000",
    "number": "1487483624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 SALINAS AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797632318",
            "telephone_number": "432-895-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PARKS VILLAGE DR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797658987",
            "telephone_number": "432-563-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORADO",
        "first_name": "KRISE",
        "middle_name": "P",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-27",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "2108201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISELDA",
            "last_name": "PINEDA",
            "middle_name": "V",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Migdalia Monzon, MD
• Moody Medicine PLLC
• Athena Moon, FNP
• Cristy Dawn Moore, RN
• Kimberlie Michele Moore, R.D.M.S.
• Francisco Javier Morales, O.D.
• Yaneth Morales
• Ruby Moreno
• Eduardo Jose Morfa Romero, MD
• Joseph Morgan, D.P.M.

• Physical Medicine & Rehabilitation Physician in Odessa, TX
• Providers in Odessa, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2024; 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.