Kristen Louise Sanders Wellborn, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT20981 Issued in CA

Practice address

347 Arrowview Dr
Redlands, CA 92373-4931

Phone

(909) 793-9130

NPI assigned

Dec 16, 2018

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 names 1

• Ms. Kris Wellborn Professional 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": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1043781396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 ARROWVIEW DR",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734931",
            "telephone_number": "909-793-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 ARROWVIEW DR",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734931",
            "telephone_number": "909-793-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS WELLBORN",
        "first_name": "KRISTEN",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT20981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRIS",
            "last_name": "WELLBORN",
            "prefix": "MS.",
            "credential": "MPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jasmine Sanchez
• Luis A Sanchez, DO
• Mari Carmen Sanchez
• Natalie Sanchez, DPT
• Oscar Sanchez Jr.
• Gerald Henry Sanders, MFT
• Carol Sandoval, DDS
• Jasmine Sandoval
• Michaela Sandoval
• Sang Eun Lee D.D.S. Inc.

• Physical Therapist in Redlands, CA
• Providers in Redlands, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.