Individual provider Active NPI

Kaitlyn Marie Eason, DPT

  • Physical Therapist
  • Lexington, KY
National Provider Identifier
1093205304
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007396 Issued in KY
Practice address
1908 Bryant Rd Ste 150
Lexington, KY 40509-2800
Phone
(859) 202-0070
Fax
(859) 286-7511
NPI assigned
May 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 007396 KY Primary

Addresses

Primary practice location

1908 Bryant Rd Ste 150
Lexington, KY 40509-2800

Mailing address

800 Crescent Centre Dr Ste 300
Franklin, TN 37067-7285
Phone (615) 373-1350

Other practice location 1

118 Market Place Cir Ste D
Georgetown, KY 40324
Phone (859) 300-1335

Other names 1

  • Kaitlyn Krizman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180723002751 SC Practitioner - Physical Therapist in Private Practice 5193072122 Reassigns benefits to 1 organization
I20240809003059 NE Practitioner - Physical Therapist in Private Practice 5193072122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Ohio State University College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choice Rehabilitation LLCGroup PAC ID 7719308204, 10 clinicians

Practice addresses (Care Compare)

6803 N 68TH PLZ
Choice Rehab Agency
Omaha, NE 68152-2177
Phone (314) 275-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007396KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Rehabilitation LLC Physical Therapist CurrentSince Jul 4, 2024 Accepting new patients
Carolina Physical Therapy and Sports Medicine Limited Partnership Physical Therapist CurrentSince Jul 1, 2018 Accepting new patients
Carolina Physical Therapy and Sports Medicine, Inc. CurrentSince Jul 1, 2018 Accepting new patients
Agilitas USA Inc Past Accepting new patients

Locations

12400 Olive Blvd
Ste 425
Saint Louis, MO 63141
Phone (314) 275-9000

141 Atrium Way
Columbia, SC 29223
Phone (803) 788-8484

75 W Wesmark Blvd
Sumter, SC 29150
Phone (800) 456-5857

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1093205304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CRESCENT CENTRE DR STE 300",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677285",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 BRYANT RD STE 150",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092800",
            "telephone_number": "859-202-0070",
            "fax_number": "859-286-7511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 Market Place Cir Ste D",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "KY",
            "postal_code": "40324",
            "country_code": "US",
            "telephone_number": "859-300-1335",
            "fax_number": "859-310-7190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EASON",
        "first_name": "KAITLYN",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "KRIZMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.

Verify at the official NPI Registry.