Active NPI
Kristin Tea
- Physical Therapist
- Montrose, CO
National Provider Identifier
1982096095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12152
- Practice address
- 19633 6575 Rd
Montrose, CO 81403-8576 - Phone
- (952) 486-0891
- NPI assigned
- Feb 26, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 12152 | CO | Primary |
Addresses
Primary practice location
19633 6575 Rd
Montrose, CO 81403-8576
Mailing address
19633 6575 Rd
Montrose, CO 81403-8576
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 |
|---|---|---|---|
| 12152 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montrose Memorial Hospital, Inc | 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.
-
- Diagnostic Radiology Physician
- Montrose, CO
- NPI 1437997947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463616000000",
"number": "1982096095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19633 6575 RD",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814038576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19633 6575 RD",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814038576",
"telephone_number": "952-486-0891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEA",
"first_name": "KRISTIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-26",
"last_updated": "2016-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "12152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montrose, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.