Individual provider Active NPI

Kristin Kaskie, PT, DPT

  • Physical Therapist
  • Fort Walton Beach, FL
National Provider Identifier
1285207779
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT27684 Issued in FL
Practice address
339 Racetrack Rd NW Ste 20
Fort Walton Beach, FL 32547-1581
Phone
(850) 374-8158
Fax
(850) 374-8164
NPI assigned
Jul 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT27684 FL Primary

Addresses

Primary practice location

339 Racetrack Rd NW Ste 20
Fort Walton Beach, FL 32547-1581

Mailing address

339 Racetrack Rd NW Ste 20
Fort Walton Beach, FL 32547-1581
Phone (850) 374-8158

Other identifiers 1

IdentifierTypeStateIssuer
PT27684OtherFLPT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210909000854 FL Practitioner - Physical Therapist in Private Practice 1456757970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Axis Physiotherapy Institute, LLCGroup PAC ID 2860825353, 11 clinicians

Practice addresses (Care Compare)

339 Racetrack Rd NW
Suite 20
Fort Walton Beach, FL 32547-1581
Phone (850) 374-8158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT27684FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Axis Physiotherapy Institute, LLC Physical Therapist CurrentSince Aug 17, 2021 Accepting new patients

Locations

34894 Emerald Coast Pkwy
Unit 3
Destin, FL 32541

339 Racetrack Rd NW
Ste 20
Ft Walton Bch, FL 32547
Phone (850) 374-8158

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1285207779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 RACETRACK RD NW STE 20",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471581",
            "telephone_number": "850-374-8158",
            "fax_number": "850-374-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 RACETRACK RD NW STE 20",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471581",
            "telephone_number": "850-374-8158",
            "fax_number": "850-374-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASKIE",
        "first_name": "KRISTIN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT27684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT27684",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.