Active NPI
Kristen Helene Grazier, DPT
- Physical Therapist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-013472
- Practice address
- 7540 N 19TH Ave Ste 101
Phoenix, AZ 85021-7967 - Phone
- (602) 249-9129
- Fax
- (602) 249-4115
- NPI assigned
- Aug 8, 2017
- Last updated
- Mar 14, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01741500 | NJ | |
| Physical Therapist | 225100000X | LPT-013472 | AZ | Primary |
Addresses
Primary practice location
7540 N 19TH Ave Ste 101
Phoenix, AZ 85021-7967
Mailing address
7036 N 14TH St
Phoenix, AZ 85020-5409
Phone (646) 852-0192
Other practice location 1
1505 W Sherman Ave
Vineland, NJ 08360-7059
Phone (856) 641-7873
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-013472 | AZ | MD | Physical Therapist |
| 40QA01741500 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foothills Sports Medicine & Rehabilitation, LLC | Current | Accepting new patients | |
| Foothills Sports Medicine & Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Foothills Sports Medicine & Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
Locations
3850 W Happy Valley Rd
Ste 147149
Glendale, AZ 85310
Phone (623) 322-8925
6788 S Kings Ranch Rd
Ste 4
Gold Canyon, AZ 85118
Phone (480) 982-1909
15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822
3305 N Swan Rd
Ste 115
Tucson, AZ 85712
Phone (520) 321-0204
Organizations & group practices 3
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.
-
- Physical Therapist
- Phoenix, AZ
- NPI 1558318170
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1073224267
-
dba ProActive Physical Therapy
- Physical Therapist
- Tucson, AZ
- NPI 1699405050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615680000000",
"number": "1255856597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7036 N 14TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850205409",
"telephone_number": "646-852-0192",
"fax_number": "602-249-4115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7540 N 19TH AVE STE 101",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850217967",
"telephone_number": "602-249-9129",
"fax_number": "602-249-4115"
}
],
"practiceLocations": [
{
"address_1": "1505 W Sherman Ave",
"address_purpose": "LOCATION",
"city": "Vineland",
"state": "NJ",
"postal_code": "083607059",
"country_code": "US",
"telephone_number": "856-641-7873",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAZIER",
"first_name": "KRISTEN",
"middle_name": "HELENE",
"name_prefix": "Ms.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-08",
"last_updated": "2021-03-14",
"certification_date": "2021-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01741500",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-013472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2021; 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.