Active NPI
Krista M McBride, PT
- Orthopedic Physical Therapist
- Louisville, KY
National Provider Identifier
1669626966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT-003943
- Practice address
- 6000 Brownsboro Park Blvd
Suite E
Louisville, KY 40207-7201 - Phone
- (502) 855-2489
- Fax
- (502) 895-7716
- NPI assigned
- Nov 13, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT-003943 | KY | Primary |
Addresses
Primary practice location
6000 Brownsboro Park Blvd
Suite E
Louisville, KY 40207-7201
Mailing address
6000 Brownsboro Park Blvd
Suite E
Louisville, KY 40207-7201
Phone (502) 855-2489
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT-003943 | Other | KY | STATE LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-003943 | KY | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402617600000",
"number": "1669626966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 BROWNSBORO PARK BLVD",
"address_2": "SUITE E",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402077201",
"telephone_number": "502-855-2489",
"fax_number": "502-895-7716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 BROWNSBORO PARK BLVD",
"address_2": "SUITE E",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402077201",
"telephone_number": "502-855-2489",
"fax_number": "502-895-7716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBRIDE",
"first_name": "KRISTA",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-13",
"last_updated": "2014-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "KY",
"license": "PT-003943",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PT-003943",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.