Individual provider Active NPI

Kristine Maya, DPT

  • Physical Therapist
  • Largo, FL
National Provider Identifier
1174073357
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT41504 Issued in FL
Practice address
8839 Bryan Dairy Rd Ste 240B
Largo, FL 33777-1203
Phone
(727) 461-6026
Fax
(727) 397-0562
NPI assigned
Oct 11, 2016
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.022735 IL
Physical Therapist 225100000X PT41504 FL Primary

Addresses

Primary practice location

8839 Bryan Dairy Rd Ste 240B
Largo, FL 33777-1203

Mailing address

5901 E Fowler Ave Ste 100
Temple Terrace, FL 33617-2305
Phone (813) 978-9700

Other names 1

  • Kristine Frake Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161208000272 IL Practitioner - Physical Therapist in Private Practice 9830479872 Reassigns benefits to 2 organizations
I20240429000515 FL Practitioner - Physical Therapist in Private Practice 9830479872 Reassigns benefits to 2 organizations

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)

8839 Bryan Dairy Rd
Suite 240B
Largo, FL 33777-1203
Phone (727) 461-6026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT41504FLMDPhysical Therapist
070.022735ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Orthopedic Clinic III PL CurrentSince Sep 17, 2024 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Nov 30, 2016 Accepting new patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist Current Accepting new patients
Tallahassee Orthopedic Clinic III, P.L. CurrentSince Sep 17, 2024 Accepting new patients
Musculoskeletal Institute Chartered CurrentSince May 6, 2024 Accepting new patients
American Hip Institute, LLC CurrentSince Feb 1, 2019 Accepting new patients
Musculoskeletal Institute Chartered CurrentSince May 6, 2024 Accepting new patients
Musculoskeletal Institute Chartered Current Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC Physical Therapist CurrentSince Nov 30, 2016 Accepting new patients

Locations

430 Morton Plant St
Ste 206
Clearwater, FL 33756
Phone (727) 298-5230

430 Morton Plant St
Ste 301
Clearwater, FL 33756

8839 Bryan Dairy Rd
Ste 240B
Seminole, FL 33777
Phone (727) 591-3080

3334 Capital Medical Blvd
Tallahassee, FL 32308
Phone (229) 393-5185

13060 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637

13020 N Telecom Pkwy
Temple Terrace, FL 33637

5901 E Fowler Ave
Ste 100
Temple Terrace, FL 33617
Phone (813) 987-9700

13020 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637

2044 Trinity Oaks Blvd
Ste 110
Trinity, FL 34655
Phone (813) 978-7000

790 Remington Blvd
Bolingbrook, IL 60440

5505 N Cumberland Ave
Ste 307
Chicago, IL 60656
Phone (908) 441-8887

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

999 E Touhy Ave
Ste 450
Des Plaines, IL 60018
Phone (630) 920-2323

800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442

4732 Dempster St
Skokie, IL 60076
Phone (224) 534-2280

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: kristine.maya.1@18802.direct.athenahealth.com

Organizations & group practices 9

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": "1476144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1174073357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 E FOWLER AVE STE 100",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336172305",
            "telephone_number": "813-978-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8839 BRYAN DAIRY RD STE 240B",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771203",
            "telephone_number": "727-461-6026",
            "fax_number": "727-397-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYA",
        "first_name": "KRISTINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-11",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.022735",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT41504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "FRAKE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.