Kristen Carmel, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P160221218 Issued in WA

Practice address

1015 NE Hostmark St
Suite 101
Poulsbo, WA 98370-6204

Phone

(360) 697-7726

Fax

(360) 697-7728

NPI assigned

Jun 9, 2011

Last updated

Jun 9, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sampson Enterprises Inc

  dba bodylink

  • Physical Therapist
  • Silverdale, WA
  • NPI 1437291176
  NPD (past)

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1275827065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 BATTLE POINT DR NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 NE HOSTMARK ST",
            "address_2": "SUITE 101",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706204",
            "telephone_number": "360-697-7726",
            "fax_number": "360-697-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMEL",
        "first_name": "KRISTEN",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160221218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Camp
• Grace Campbell
• Holly Campbell, MSM, LM, CPM
• Shannon Rae Cantrell, SUDP
• Carly N Carbo, SLP
• Christy Carosella
• Jessica Carrier, P.A.
• Metasha Pak Carson, DO 61511845
• Katlyn Peterson Carter, LM, CPM
• Susan Marie Casagrande, LICSW

• Physical Therapy Assistant in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.