Active NPI
Kristina R Burgess, PT
- Physical Therapist
- Barboursville, WV
National Provider Identifier
1851691786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 002686
- Practice address
- 3552 US Route 60 E
Barboursville, WV 25504-1639 - Phone
- (304) 733-9560
- NPI assigned
- Oct 26, 2010
- 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 | PT 002686 | WV | Primary |
Addresses
Primary practice location
3552 US Route 60 E
Barboursville, WV 25504-1639
Mailing address
3552 US Route 60 E
Barboursville, WV 25504-1639
Phone (304) 733-9560
Other names 1
- Kristina R Coleman
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 002686 | WV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Generations R.C., Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Barboursville, WV
- NPI 1609930379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288051200000",
"number": "1851691786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3552 US ROUTE 60 E",
"city": "BARBOURSVILLE",
"state": "WV",
"postal_code": "255041639",
"telephone_number": "304-733-9560",
"fax_number": "304-733-1141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3552 US ROUTE 60 E",
"city": "BARBOURSVILLE",
"state": "WV",
"postal_code": "255041639",
"telephone_number": "304-733-9560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGESS",
"first_name": "KRISTINA",
"middle_name": "R",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-26",
"last_updated": "2010-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "PT 002686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTINA",
"last_name": "COLEMAN",
"middle_name": "R",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Barboursville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.