Individual provider Active NPI

Kristen Elizabeth Sabol, DPT

  • Physical Therapist
  • Tiffin, OH
National Provider Identifier
1164523676
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT011576 Issued in OH
Practice address
3101 W US RT 224
Tiffin, OH 44836
Phone
(419) 443-1429
Fax
(419) 443-1691
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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 PT011576 OH Primary

Addresses

Primary practice location

3101 W US RT 224
Tiffin, OH 44836

Mailing address

3101 W US RT 224
Tiffin, OH 44836
Phone (419) 443-1429

Other identifiers 2

IdentifierTypeStateIssuer
1442035OtherOHBWC
2527699MedicaidOH

Other names 1

  • Kristen Elizabeth Delamatre Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT011576OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Star PT Inc Physical Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1164523676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 W US RT 224",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "44836",
            "telephone_number": "419-443-1429",
            "fax_number": "419-443-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 W US RT 224",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "44836",
            "telephone_number": "419-443-1429",
            "fax_number": "419-443-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABOL",
        "first_name": "KRISTEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT011576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "1442035",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2527699",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "DELAMATRE",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tiffin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.