Krista Paige Bleifus, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT4045 Issued in AR

Practice address

4901 Northshore Dr
North Little Rock, AR 72118-5293

Phone

(501) 791-3331

NPI assigned

Nov 16, 2015

Last updated

Aug 6, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1972977858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 NORTHSHORE DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721185293",
            "telephone_number": "501-791-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 NORTHSHORE DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721185293",
            "telephone_number": "501-791-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEIFUS",
        "first_name": "KRISTA",
        "middle_name": "PAIGE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-16",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AR",
            "license": "PT4045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT4045",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Lane Blanscet, DDS
• Jordan Elizabeth Blaydes
• Ann G Blaylock, APN
• Hannah Blaylock
• Reid Blaylock
• Lauren Blocker
• Martha Blodgett
• Bloom Health and Wellness, PLLC
• Kaitlin Bloomfield, DPT
• Linda Marie Bloomfield, B C -HIS

• Pediatric Physical Therapist in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Pediatric Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.