Active NPI
Kristen Kantner London, PT
- Physical Therapist
- Ocala, FL
National Provider Identifier
1205896677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11629
- Practice address
- 2620 SE Maricamp Rd
Strive Rehabilitation
Ocala, FL 34471-5582 - Phone
- (352) 351-8883
- Fax
- (352) 351-4219
- NPI assigned
- Mar 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3079 | GA | |
| Physical Therapist | 225100000X | 11629 | FL | Primary |
| Physical Therapist | 225100000X | 4250 | NC |
Addresses
Primary practice location
2620 SE Maricamp Rd
Strive Rehabilitation
Ocala, FL 34471-5582
Mailing address
1190 SE 17TH St
Ocala, FL 34471-4510
Phone (351) 732-8868
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11629 | Other | FL | PT LICENSE |
| 4250 | Other | NC | PT LICENSE |
Other names 1
- Kristen Kantner
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4250 | NC | MD | Professional Counselor |
| 11629 | FL | MD | Physical Therapist |
| 3079 | GA | MD | Physical Therapist |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255996800000",
"number": "1205896677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1190 SE 17TH ST",
"city": "OCALA",
"state": "FL",
"postal_code": "344714510",
"telephone_number": "351-732-8868",
"fax_number": "352-732-8890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 SE MARICAMP RD",
"address_2": "STRIVE REHABILITATION",
"city": "OCALA",
"state": "FL",
"postal_code": "344715582",
"telephone_number": "352-351-8883",
"fax_number": "352-351-4219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONDON",
"first_name": "KRISTEN",
"middle_name": "KANTNER",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-28",
"last_updated": "2009-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "3079",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "11629",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "4250",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "11629",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "4250",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "KANTNER",
"credential": "KANTNER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.