Active NPI
Kristie Beth Sulda, P.T.
- Physical Therapist
- Greenfield, MA
National Provider Identifier
1851469944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13212
- Practice address
- 306 High St # a
Greenfield, MA 01301-2611 - Phone
- (413) 773-3379
- Fax
- (413) 772-2705
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13212 | MA | Primary |
Addresses
Primary practice location
306 High St # a
Greenfield, MA 01301-2611
Mailing address
306 High St # a
Greenfield, MA 01301-2611
Phone (413) 773-3379
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 363700 | Other | MA | TUFTS |
| 0332691 | Medicaid | MA | |
| Y67918 | Other | MA | BCBS |
| 56034 | Other | MA | FALLON |
Other names 1
- Kristie Beth Wrisley
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 |
|---|---|---|---|
| 13212 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851469944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 HIGH ST # A",
"city": "GREENFIELD",
"state": "MA",
"postal_code": "013012611",
"telephone_number": "413-773-3379",
"fax_number": "413-772-2705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 HIGH ST # A",
"city": "GREENFIELD",
"state": "MA",
"postal_code": "013012611",
"telephone_number": "413-773-3379",
"fax_number": "413-772-2705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULDA",
"first_name": "KRISTIE",
"middle_name": "BETH",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "13212",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "363700",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0332691",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y67918",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "56034",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIE",
"last_name": "WRISLEY",
"middle_name": "BETH",
"credential": "P.T.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Greenfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.