Active NPI
Kristen A. Harvey, LMT
- Physical Therapy Assistant
- Bridgeport, WV
National Provider Identifier
1992016729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA002120
- Practice address
- 529 E Main St
Bridgeport, WV 26330-1824 - Phone
- (304) 842-4202
- NPI assigned
- Jun 26, 2010
- Reactivated
- Feb 22, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2008-2443 | WV | |
| Physical Therapy Assistant | 225200000X | PTA002120 | WV | Primary |
Addresses
Primary practice location
529 E Main St
Bridgeport, WV 26330-1824
Mailing address
Pierpont Center
1543 Country Club Rd.
Bridgeport, WV 26554
Phone (304) 363-2273
Other names 1
- Ms. Kristen A. Rice
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA002120 | WV | MD | Physical Therapy Assistant |
| 2008-2443 | WV | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mike Mason Chiropractic PLLC | 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.
-
- Chiropractor
- Bridgeport, WV
- NPI 1255388971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1992016729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PIERPONT CENTER",
"address_2": "1543 COUNTRY CLUB RD.",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "26554",
"telephone_number": "304-363-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 E MAIN ST",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263301824",
"telephone_number": "304-842-4202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARVEY",
"first_name": "KRISTEN",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-26",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"deactivation_date": "2021-10-12",
"reactivation_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WV",
"license": "2008-2443",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WV",
"license": "PTA002120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "RICE",
"middle_name": "A.",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.