Individual provider Active NPI

Kristi Michelle Plunk, PT, DPT, WCS, CLT

  • Physical Therapist
  • Bedford, TX
National Provider Identifier
1942539911
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1169113 Issued in TX
Practice address
1248 Harwood Rd
Bedford, TX 76021-4244
Phone
(817) 786-8058
Fax
(817) 786-8057
NPI assigned
Dec 21, 2009
Last updated
Jun 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 031945-1 NY
Physical Therapist 225100000X 1169113 TX Primary

Addresses

Primary practice location

1248 Harwood Rd
Bedford, TX 76021-4244

Mailing address

1248 Harwood Rd
Bedford, TX 76021-4244
Phone (817) 786-8058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120727000401 TX Practitioner - Physical Therapist in Private Practice 1951426337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beyond Therapy and Wellness PLLCGroup PAC ID 1951567437, 5 clinicians

Practice addresses (Care Compare)

1248 Harwood Rd
Bedford, TX 76021-4244
Phone (817) 786-8058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bortnick Therapy Enterprises, PLLC Physical Therapist CurrentSince Dec 15, 2024 Accepting new patients
Beyond Therapy and Wellness PLLC Physical Therapist CurrentSince May 17, 2012 Accepting new patients

Locations

1248 Harwood Rd
Bedford, TX 76021
Phone (817) 725-3257

1705 Forest Ridge Dr
Bedford, TX 76022
Phone (817) 786-8058

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1942539911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 HARWOOD RD",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214244",
            "telephone_number": "817-786-8058",
            "fax_number": "817-786-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 HARWOOD RD",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214244",
            "telephone_number": "817-786-8058",
            "fax_number": "817-786-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUNK",
        "first_name": "KRISTI",
        "middle_name": "MICHELLE",
        "credential": "PT, DPT, WCS, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-21",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031945-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1169113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.