Individual provider Active NPI

Kristin Siegfried Gerrety, PT

  • Pediatric Physical Therapist
  • Asheville, NC
National Provider Identifier
1598842049
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
P14569 Issued in NC
Practice address
852 Merrimon Ave
Asheville, NC 28804-2405
Phone
(828) 251-6091
Fax
(828) 251-6911
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 011592 OH
Pediatric Physical Therapist 2251P0200X P14569 NC Primary

Addresses

Primary practice location

852 Merrimon Ave
Asheville, NC 28804-2405

Mailing address

852 Merrimon Avenue
Ashevilleq, NC 28804-2405
Phone (828) 251-6091

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

LicenseStateTypeSpecialty
011592OHMDPhysical Therapist
P14569NCMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
NC DHHS Child and Family Well-Being PastSince Jul 24, 2022 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1598842049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 MERRIMON AVENUE",
            "city": "ASHEVILLEQ",
            "state": "NC",
            "postal_code": "288042405",
            "telephone_number": "828-251-6091",
            "fax_number": "828-251-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 MERRIMON AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288042405",
            "telephone_number": "828-251-6091",
            "fax_number": "828-251-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERRETY",
        "first_name": "KRISTIN",
        "middle_name": "SIEGFRIED",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "011592",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NC",
            "license": "P14569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.