Kristen M. Harris, PT, GCS

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

29381 Issued in FL

Practice address

5126 31St Ave S
Gulfport, FL 33707-5622

Phone

(727) 350-1012

Fax

(727) 350-1012

NPI assigned

Sep 7, 2005

Sex

Female

Sole proprietor

No

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

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Mobile Therapy, Inc

  • Geriatric Physical Therapist
  • Gulfport, FL
  • NPI 1720072580
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454803200000",
    "number": "1164416004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531078",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337471078",
            "telephone_number": "727-350-1012",
            "fax_number": "727-350-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5126 31ST AVE S",
            "city": "GULFPORT",
            "state": "FL",
            "postal_code": "337075622",
            "telephone_number": "727-350-1012",
            "fax_number": "727-350-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KRISTEN",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "PT, GCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2016-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NC",
            "license": "6400",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "6400",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "FL",
            "license": "29381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trudy Cheri Grossman, FNP-BC, APRN
• Teresa Kay Guy, ARNP, WHNP-BC
• Desirae Hack, RN
• Alexa Hackett, COTA/L
• Hair by Dr Muni LLC
• David Thomas Hobbs, DC
• Marissa Lyn Hols, D.C.
• Laura S Hulsey, LMT
• Cassandra Hunt, COTA/L
• Jennifer Kaminsky, L.C.S.W.

• Geriatric Physical Therapist in Gulfport, FL
• Providers in Gulfport, FL by specialty
• Geriatric Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.