Kristi L Grimsley, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1099075 Issued in TX

Practice address

123 Medical Dr Ste B
Palestine, TX 75801-8508

Phone

(903) 723-3602

Fax

(903) 731-9573

NPI assigned

Apr 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1790909778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 MEDICAL DR STE B",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758018508",
            "telephone_number": "903-723-3602",
            "fax_number": "936-633-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MEDICAL DR STE B",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758018508",
            "telephone_number": "903-723-3602",
            "fax_number": "903-731-9573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMSLEY",
        "first_name": "KRISTI",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1099075",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1099075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "83392T",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108015202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Gonzalez, LPC
• James Eric Gooch, LPC
• Randall Coleman Gray, D.C.
• Jo Baxter Green, PHD
• Michelle Lee Green, FNP
• Morgan Ryan Grimsley, MOT
• Ro-Jon Allen Grogans, M.D.
• Johnny Lee Haley, M.D.
• Rachel Hall
• Christy Hammond, PTA

• Physical Therapist in Palestine, TX
• Providers in Palestine, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.