Active NPI
Kristen Smith, DPT
- Physical Therapist
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5101
- Practice address
- 6320 N la Cholla Blvd Ste 310
Tucson, AZ 85741-3552 - Phone
- (520) 382-8200
- Fax
- (520) 297-3505
- NPI assigned
- Aug 30, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5101 | NM | |
| Physical Therapist | 225100000X | 5101 | AZ | Primary |
Addresses
Primary practice location
6320 N la Cholla Blvd Ste 310
Tucson, AZ 85741-3552
Mailing address
PO Box 31630
Tucson, AZ 85751-1630
Phone (520) 784-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 528608 | Medicaid | AZ |
Other names 1
- Kristen Patenaude
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, AZ
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6320 N la Cholla Blvd
Suite 310
Tucson, AZ 85741-3552
Phone (520) 382-8200
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.6 of 100
- Promoting interoperability
- 96
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101 | AZ | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tucson Orthopaedic Institute Professional Corporation | Physical Therapist | Current | Accepting new patients |
| Tucson Orthopaedic Institute Professional Corporation | Physical Therapist | Current | Accepting new patients |
| Socorro Physical Therapy Incorporated | Physical Therapist | Current | Accepting new patients |
Locations
2424 N Wyatt Dr
Ste 130
Tucson, AZ 85712
Phone (520) 784-6570
6320 N La Cholla Blvd
Ste 310
Tucson, AZ 85741
Phone (520) 219-9125
6320 N La Cholla Blvd
Ste 200
Tucson, AZ 85741
911 N California St
Socorro, NM 87801
Phone (575) 838-1000
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Tucson, AZ
- NPI 1437193265
Physical Therapist
-
- Physical Therapist
- Socorro, NM
- NPI 1669498556
-
- Orthopaedic Surgery Physician
- Tucson, AZ
- NPI 1609328350
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685404800000",
"number": "1083132039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31630",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857511630",
"telephone_number": "520-784-6200",
"fax_number": "520-784-6109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6320 N LA CHOLLA BLVD STE 310",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857413552",
"telephone_number": "520-382-8200",
"fax_number": "520-297-3505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KRISTEN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-30",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "5101",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "5101",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "528608",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "PATENAUDE",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.