Individual provider Active NPI

Krista Michele Eaton, PTA

  • Physical Therapy Assistant
  • Pampa, TX
National Provider Identifier
1629277371
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2062272 Issued in TX
Practice address
1201 N Hobart St
Space 2JS
Pampa, TX 79065-4641
Phone
(806) 665-4820
Fax
(806) 665-4123
NPI assigned
Jul 13, 2007
Last updated
Jul 13, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2062272 TX Primary

Addresses

Primary practice location

1201 N Hobart St
Space 2JS
Pampa, TX 79065-4641

Mailing address

1501 Indian Creek Ranch Road
Pampa, TX 79065
Phone (806) 663-0115

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
2062272TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1629277371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 INDIAN CREEK RANCH ROAD",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "79065",
            "telephone_number": "806-663-0115",
            "fax_number": "806-665-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N HOBART ST",
            "address_2": "SPACE 2JS",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790654641",
            "telephone_number": "806-665-4820",
            "fax_number": "806-665-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATON",
        "first_name": "KRISTA",
        "middle_name": "MICHELE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2062272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pampa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.