Active NPI
Kristin Marie Wilkins, DPT
- Physical Therapist
- Maple Valley, WA
National Provider Identifier
1265865273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60340848
- Practice address
- 24060 SE Kent Kangley Rd
Suite D 100
Maple Valley, WA 98038-6801 - Phone
- (425) 433-0123
- Fax
- (425) 433-0733
- NPI assigned
- Aug 13, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60340848 | WA | Primary |
Addresses
Primary practice location
24060 SE Kent Kangley Rd
Suite D 100
Maple Valley, WA 98038-6801
Mailing address
24060 SE Kent Kangley Rd
Suite D 100
Maple Valley, WA 98038-6801
Phone (425) 433-0123
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 |
|---|---|---|---|
| PT60340848 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475107200000",
"number": "1265865273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24060 SE KENT KANGLEY RD",
"address_2": "SUITE D 100",
"city": "MAPLE VALLEY",
"state": "WA",
"postal_code": "980386801",
"telephone_number": "425-433-0123",
"fax_number": "425-433-0733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24060 SE KENT KANGLEY RD",
"address_2": "SUITE D 100",
"city": "MAPLE VALLEY",
"state": "WA",
"postal_code": "980386801",
"telephone_number": "425-433-0123",
"fax_number": "425-433-0733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINS",
"first_name": "KRISTIN",
"middle_name": "MARIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-13",
"last_updated": "2016-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60340848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maple Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.