Kristen Wyrick, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004858 Issued in KY

Practice address

542 Three Springs Rd
Bowling Green, KY 42104-7589

Phone

(270) 782-3503

Fax

(270) 782-1123

NPI assigned

Jul 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empowerme Rehabilitation Kentucky, LLCGroup PAC ID 1850729211, 108 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Empowerme Rehabilitation Kentucky, LLC

  • Multi-Specialty Clinic/Center
  • Lexington, KY
  • NPI 1275166696

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Empowerme Rehabilitation Kentucky, LLC

  • Rehabilitation Clinic/Center
  • Florence, KY
  • NPI 1669195640
  NPD
• Total Fitness Connection,PLLC

  • Specialist
  • Bowling Green, KY
  • NPI 1336241538
  NPD (past)

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1689872822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 RUSSELLVILLE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421015081",
            "telephone_number": "270-781-1151",
            "fax_number": "270-781-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 THREE SPRINGS RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421047589",
            "telephone_number": "270-782-3503",
            "fax_number": "270-782-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYRICK",
        "first_name": "KRISTEN",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "532436",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1689872822",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Wright, APRN
• Spencer Wright, DMD
• William Jason Wright, DPT
• Rachel Wyatt, CSW
• Ashana C Wynn, RBT
• Xtreme Prosthetics, LLC.
• Kenny Xu, DO
• Ronald L Yaeger, D.M.D.
• Xue Yang, MD, PHD
• Clarizel Concepcion Yarbrough, CRNA

• Physical Therapist in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.