Active NPI
Kristen Ashley Truitt, PTA
- Physical Therapy Assistant
- Pembroke Pines, FL
National Provider Identifier
1124429600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA 22623
- Practice address
- 10261 Pines Blvd
Pembroke Pines, FL 33026-6008 - Phone
- (954) 356-2878
- NPI assigned
- Sep 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA 22623 | FL | Primary |
Addresses
Primary practice location
10261 Pines Blvd
Pembroke Pines, FL 33026-6008
Mailing address
977 Riverside Dr
#237
Coral Springs, FL 33071-7054
Phone (954) 592-7029
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA 22623 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410739200000",
"number": "1124429600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "977 RIVERSIDE DR",
"address_2": "#237",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330717054",
"telephone_number": "954-592-7029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10261 PINES BLVD",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330266008",
"telephone_number": "954-356-2878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUITT",
"first_name": "KRISTEN",
"middle_name": "ASHLEY",
"name_prefix": "Miss",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-15",
"last_updated": "2014-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA 22623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.