Active NPI
Krista Marie Ernsdorf, P.T.
- Orthopedic Physical Therapist
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 60201103
- Practice address
- 1700 Broadway St
Suite 101
Vancouver, WA 98663-3455 - Phone
- (360) 737-3346
- NPI assigned
- Sep 15, 2008
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 60201103 | WA | Primary |
Addresses
Primary practice location
1700 Broadway St
Suite 101
Vancouver, WA 98663-3455
Mailing address
1700 Broadway St
Suite 101
Vancouver, WA 98663-3455
Phone (360) 737-3346
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0239973 | Other | OR | WASHINGTON L & I |
| 500606411 | Medicaid | OR | |
| P00802452 | Other | OR | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Loma Linda University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2312 W Main St
Suite 117
Battle Ground, WA 98604-4233
Phone (360) 687-7147
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60201103 | WA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sole Sisters Physical Therapy, LLC | Orthopedic | Current | Accepting new patients |
| Movement Systems Physical Therapy, P.S. | Current | Accepting new patients | |
| Therapeutic Associates Inc | Past | Accepting new patients | |
| Anunciado Enterprises PC | Past | Accepting new patients |
Locations
1100 Circle 75 Pkwy SE
Ste 1400
Atlanta, GA 30339
Phone (678) 403-3555
2312 W Main St
Ste 117
Battle Ground, WA 98604
Phone (360) 608-3883
8435 SE 68th St
Ste 100
Mercer Island, WA 98040
Phone (206) 405-1864
1200 Westlake Ave N
Ste 100
Seattle, WA 98109
Phone (206) 405-1864
1700 Broadway St
Ste 101
Vancouver, WA 98663
Phone (360) 737-3346
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Battle Ground Physical Therapy
- Physical Therapist
- Battle Ground, WA
- NPI 1487905196
Orthopedic
-
- Physical Therapist
- Seattle, WA
- NPI 1659324051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483574400000",
"number": "1891944815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 BROADWAY ST",
"address_2": "SUITE 101",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986633455",
"telephone_number": "360-737-3346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 BROADWAY ST",
"address_2": "SUITE 101",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986633455",
"telephone_number": "360-737-3346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERNSDORF",
"first_name": "KRISTA",
"middle_name": "MARIE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-15",
"last_updated": "2017-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "WA",
"license": "60201103",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON L & I",
"identifier": "0239973",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500606411",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00802452",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.