Kristen Diane Grande, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT25039 Issued in CA

Practice address

510 E Naples St
Chula Vista, CA 91911-2519

Phone

(619) 421-6083

NPI assigned

Feb 27, 2007

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316074420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 LANING RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921066434",
            "telephone_number": "858-361-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E NAPLES ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919112519",
            "telephone_number": "619-421-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDE",
        "first_name": "KRISTEN",
        "middle_name": "DIANE",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "PT25039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Grage
• Laicee Grahek, PT, DPT
• Beyca Granados
• Felipe Granados
• Ariana Granda
• Jacqueline Grant, D.C.
• Theresa Grant, NCSP, ED. S
• Roberto Gratianne, M.D.
• Alexandra Jean Gray, OTR/L
• Jordan Elizabeth Gray, OTR/L

• Pediatric Physical Therapist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Pediatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.