Kristina Porzenheim

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

401 W Atlantic Ave # 14
Delray Beach, FL 33444-3689

Phone

(561) 990-4466

NPI assigned

Dec 14, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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": "1481673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1073057790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9599 PARKVIEW AVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W ATLANTIC AVE # 14",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334443689",
            "telephone_number": "561-990-4466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9599 Parkview Ave",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334282918",
            "country_code": "US",
            "telephone_number": "561-789-1801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORZENHEIM",
        "first_name": "KRISTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-14",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "5687",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ponn, LCSW
• Christopher Pope
• Carla Porges
• Ernesto Fidel Porras Polo, M.D.
• Anthony Gabriel Portugal, CRNA
• Cary Posar, MD
• Positive Therapy Center, LLC
• Michael Posner
• Kenneth D Poss, DPM
• Linda Potere, CAP, LADAC, LHCRM

• Physical Therapist in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.