Active NPI
Kristen Victoria Tate, PHYSICAL THERAPIST
- Physical Therapist
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- J1-0014326
- Practice address
- 701 Foulk Rd Ste 2a
Wilmington, DE 19803-3733 - Phone
- (877) 407-3422
- Fax
- (877) 407-4329
- NPI assigned
- Mar 3, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J1-0014326 | DE | Primary |
Addresses
Primary practice location
701 Foulk Rd Ste 2a
Wilmington, DE 19803-3733
Mailing address
1050 Industrial Dr Ste 210
Middletown, DE 19709-2803
Phone (302) 389-7855
Other practice location 1
100 S Main St Ste 300
Smyrna, DE 19977-1495
Phone (302) 389-7855
Other names 1
- Kristen Victoria McMillen
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehabilitation Services INC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
701 Foulk Rd
2A
Wilmington, DE 19803-3733
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Physical Therapy and Sports Performance Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Fox Rehabilitation Services Inc | Physical Therapist | Current | Accepting new patients |
| Premier Physical Therapy and Sports Performance Limited Partnership | Current | Accepting new patients |
Locations
1050 Industrial Dr
Ste 210
Middletown, DE 19709
100 S Main St
Ste 300
Smyrna, DE 19977
Phone (302) 389-7855
701 Foulk Rd
Ste 2A
Wilmington, DE 19803
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 and National Provider Directory roles.
-
- Physical Therapist
- Wilmington, DE
- NPI 1326092503
-
- Physical Therapist
- Middletown, DE
- NPI 1417320151
-
- Durable Medical Equipment & Medical Supplies
- Milford, DE
- NPI 1457943623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1336734136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 INDUSTRIAL DR STE 210",
"city": "MIDDLETOWN",
"state": "DE",
"postal_code": "197092803",
"telephone_number": "302-389-7855",
"fax_number": "302-449-2047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 FOULK RD STE 2A",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198033733",
"telephone_number": "877-407-3422",
"fax_number": "877-407-4329"
}
],
"practiceLocations": [
{
"address_1": "100 S Main St Ste 300",
"address_purpose": "LOCATION",
"city": "Smyrna",
"state": "DE",
"postal_code": "199771495",
"country_code": "US",
"telephone_number": "302-389-7855",
"fax_number": "302-449-2047",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TATE",
"first_name": "KRISTEN",
"middle_name": "VICTORIA",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-03",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0014326",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehabilitation Services INC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "701 Foulk Rd Ste 2A",
"city": "Wilmington",
"state": "DE",
"country_code": "US",
"postal_code": "198033733",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "MCMILLEN",
"middle_name": "VICTORIA",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.