Active NPI
Kristen Altman, P.T.
- Physical Therapist
- Pembroke, GA
National Provider Identifier
1356539894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT009182
- Practice address
- 205 East Bacon Steet
Pembroke, GA 31321 - Phone
- (912) 653-0040
- Fax
- (912) 653-0038
- NPI assigned
- Oct 10, 2007
- 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 | PT009182 | GA | Primary |
Addresses
Primary practice location
205 East Bacon Steet
Pembroke, GA 31321
Mailing address
595 W Carolina Ave
Varnville, SC 29944-4735
Phone (803) 943-1264
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT009182 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Rehab Services, Inc. | Physical Therapist | Past | Accepting new patients |
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.
-
- Rehabilitation Clinic/Center
- Tybee Island, GA
- NPI 1588667430
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578268800000",
"number": "1356539894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "595 W CAROLINA AVE",
"city": "VARNVILLE",
"state": "SC",
"postal_code": "299444735",
"telephone_number": "803-943-1264",
"fax_number": "803-943-1236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 EAST BACON STEET",
"city": "PEMBROKE",
"state": "GA",
"postal_code": "31321",
"telephone_number": "912-653-0040",
"fax_number": "912-653-0038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTMAN",
"first_name": "KRISTEN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-10",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT009182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.