Active NPI
Krista Hoisington Clarke, PT, DPT
- Physical Therapist
- Watertown, NY
National Provider Identifier
1962718429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 033008
- Practice address
- 26495 Nys RT 3
Watertown, NY 13601-4702 - Phone
- (315) 782-0002
- Fax
- (315) 883-1333
- NPI assigned
- Aug 23, 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 | 033008 | NY | Primary |
Addresses
Primary practice location
26495 Nys RT 3
Watertown, NY 13601-4702
Mailing address
26495 Nys RT 3
Watertown, NY 13601-4702
Phone (315) 782-0002
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 |
|---|---|---|---|
| 033008 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282521600000",
"number": "1962718429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26495 NYS RT 3",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136014702",
"telephone_number": "315-782-0002",
"fax_number": "315-883-1333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26495 NYS RT 3",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136014702",
"telephone_number": "315-782-0002",
"fax_number": "315-883-1333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE",
"first_name": "KRISTA",
"middle_name": "HOISINGTON",
"name_prefix": "Mrs.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-23",
"last_updated": "2010-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "033008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.