Kristin Hix – Pediatric Physical Therapist

Key facts

NPI: 1497968820
Entity type: Individual (NPI type 1)
Primary specialty: Pediatric Physical Therapist 2251P0200X
License: 6884 (AZ)
Practice address: 952 E. Baseline Rd.
Suite A106
Mesa, AZ 85204
Phone: (480) 926-6309
NPI assigned: May 8, 2007
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

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.

Rise Early Intervention Services LLC Early Intervention Provider Agency · Mesa, AZ · NPI 1669818035

NPD PEDIATRICS

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Rise Early Intervention Services LLC	Pediatrics	Current	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pediatric Physical Therapist	2251P0200X	6884	AZ	Yes

Addresses

Primary practice location

952 E. Baseline Rd.
Suite A106
Mesa, AZ 85204

Mailing address

952 E. Baseline Rd.
Suite A106
Mesa, AZ 85204

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497968820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 E. BASELINE RD.",
            "address_2": "SUITE A106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 E. BASELINE RD.",
            "address_2": "SUITE A106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85204",
            "telephone_number": "480-926-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIX",
        "first_name": "KRISTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AZ",
            "license": "6884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

All providers in Mesa, AZ · Pediatric Physical Therapist in Arizona

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.