Active NPI
Krista Ann Wingard, PTA
- Physical Therapy Assistant
- Atlanta, GA
National Provider Identifier
1538465448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA003691
- Practice address
- 925 Garrett St SE Ste J
Atlanta, GA 30316-6833 - Phone
- (404) 624-5407
- Fax
- (404) 624-5409
- NPI assigned
- Feb 10, 2011
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 225200000X | PTA003691 | GA | Primary |
| Physical Therapy Assistant | 225200000X | TE006566 | PA |
Addresses
Primary practice location
925 Garrett St SE Ste J
Atlanta, GA 30316-6833
Mailing address
6397 Lee Hwy Ste 300
Chattanooga, TN 37421-4915
Phone (423) 238-7217
Other practice location 1
1950 S Bellaire St
ste 325
Denver, CO 80222
Phone (866) 801-9492
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 |
|---|---|---|---|
| PTA003691 | GA | MD | Physical Therapy Assistant |
| TE006566 | PA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benchmark Physical Therapy, Inc | Past | Accepting new patients | |
| Independent Physical Therapy of Georgia , LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1801815816
-
- Physical Therapist
- Dalton, GA
- NPI 1003868225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553731200000",
"number": "1538465448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6397 LEE HWY STE 300",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374214915",
"telephone_number": "423-238-7217",
"fax_number": "423-238-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 GARRETT ST SE STE J",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303166833",
"telephone_number": "404-624-5407",
"fax_number": "404-624-5409"
}
],
"practiceLocations": [
{
"address_1": "1950 S Bellaire St",
"address_2": "ste 325",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "80222",
"country_code": "US",
"telephone_number": "866-801-9492",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WINGARD",
"first_name": "KRISTA",
"middle_name": "ANN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-10",
"last_updated": "2019-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "GA",
"license": "PTA003691",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PA",
"license": "TE006566",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.