Kristin Blank, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT296873 Issued in CA

Practice address

10716 La Tuna Canyon Rd
Sun Valley, CA 91352-2130

Phone

(818) 588-0288

NPI assigned

Nov 21, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kristin Dye Former name

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": "1542758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1003385808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10716 LA TUNA CANYON RD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913522130",
            "telephone_number": "818-588-0288",
            "fax_number": "818-252-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10716 LA TUNA CANYON RD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913522130",
            "telephone_number": "818-588-0288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2541 Pass Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "395312112",
            "country_code": "US",
            "telephone_number": "228-388-1002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANK",
        "first_name": "KRISTIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-21",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT296873",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PTH6587",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "DYE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Best Choice Senior Care Inc.
• Besthome Assisted Living
• Edna Beteta
• Beyond Vision Med Group Inc
• Ashley Renae Bivins
• Jordana Blesa
• Shautauqua Blocker, APRN
• Krystal R Board
• Danielle Lynnae Bonaparte, RAC
• Kenyada Bond

• Physical Therapist in Sun Valley, CA
• Providers in Sun Valley, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.