Kristen Bastide, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

19765 Issued in MA

Practice address

4 Wethersfield Rd # 8
Natick, MA 01760-1770

Phone

(508) 653-6000

NPI assigned

Aug 21, 2020

Last updated

Aug 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1053923805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BLUE JAY LN",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "017212514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WETHERSFIELD RD # 8",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601770",
            "telephone_number": "508-653-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTIDE",
        "first_name": "KRISTEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MA",
            "license": "19765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "preservationptandwellness.com",
            "affiliation": "N",
            "address_1": "4 Wethersfield Rd # 8",
            "city": "Natick",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017601770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica Anne Bartha, MSPT, CEIS
• Holly Bartlett
• Madeleine Bartzak, RN, MPH
• Patricia J Bartzak, RN
• Dianne McKie Baskind, PT
• Gaston Phillip Bathalon, PHD
• Amanda Grace Beals
• Susanne Marie Beaudoin, LMT
• Edward Beck, D.O.
• Bee Insightful LLC

• Orthopedic Physical Therapist in Natick, MA
• Providers in Natick, MA by specialty
• Orthopedic Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.