Erica Lynn Kish, PT, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7806 Issued in AZ

Practice address

Mustang Road, 1 Mile North of RT 264
Saint Michaels, AZ 86511-0100

Phone

(928) 871-2822

Fax

(928) 871-2837

NPI assigned

Sep 11, 2007

Last updated

Sep 11, 2007By the provider in NPPES

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)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St. Michaels Association for Special Education

  • Occupational Therapist
  • St. Michaels, AZ
  • NPI 1235353806
  NPD (past)

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1588859789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "SAINT MICHAELS",
            "state": "AZ",
            "postal_code": "865110100",
            "telephone_number": "928-871-2822",
            "fax_number": "928-871-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MUSTANG ROAD, 1 MILE NORTH OF RT 264",
            "city": "SAINT MICHAELS",
            "state": "AZ",
            "postal_code": "865110100",
            "telephone_number": "928-871-2822",
            "fax_number": "928-871-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISH",
        "first_name": "ERICA",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "PT, MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "7806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pernell Kevin Begaye
• Melvina E. Bigthumb, M.S.
• Rez Liwag Cortez
• Susan L Elizondo, M.D.
• Patricia F Hogan, LCSW, LMT
• Northern Apache County Special Health Care District (St. Michaels Clinic Pharmacy)
• Northern Apache County Special Health Care District (St. Michaels Clinic)
• Northern Apache County Special Health Care District (St. Michaels Clinic)
• Professional Behavioral Health Services of St. Michaels (Professional Counseling Services)
• Sacred Mountain Home Care

• Physical Therapist in St. Michaels, AZ
• Providers in St. Michaels, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.