Kristin Mazzeo Garner, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

6483 Issued in TN

Practice address

1647 Mallory LN
Suite 103
Brentwood, TN 37027-2909

Phone

(615) 661-5437

Fax

(615) 309-8342

NPI assigned

Oct 11, 2006

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

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• High Hopes, Inc.

  • Pediatric Physical Therapist
  • Franklin, TN
  • NPI 1861675084

  Pediatrics

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238457600000",
    "number": "1043308117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2789 LAFAYETTE DR",
            "city": "THOMPSONS STATION",
            "state": "TN",
            "postal_code": "37179",
            "telephone_number": "615-595-8423",
            "fax_number": "615-595-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 MALLORY LN",
            "address_2": "SUITE 103",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272909",
            "telephone_number": "615-661-5437",
            "fax_number": "615-309-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER",
        "first_name": "KRISTIN",
        "middle_name": "MAZZEO",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2009-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "6483",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TN",
            "license": "6483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Gardner
• Kayla Gardner, CCP
• Virginia Sinclair Gardner, APRN
• Amanda Beth Garner, M.S., CCC-SLP
• Benny Andrew Garner, M.DIV., LMFT
• Mark Clay Garner, PT
• Autumn Garr
• Angela Garton
• April Mae Garza-Wright, PMHNP
• Rebecca Garza

• Pediatric Physical Therapist in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Pediatric Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.