Individual provider Active NPI

Kristina Lott, PT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1376617951
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6024 Issued in AZ
Practice address
4440 N 36TH St
240
Phoenix, AZ 85018-3588
Phone
(602) 956-4040
Fax
(602) 956-4011
NPI assigned
Nov 17, 2006
Last updated
Apr 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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 6024 AZ Primary

Addresses

Primary practice location

4440 N 36TH St
240
Phoenix, AZ 85018-3588

Mailing address

4440 N 36TH St
240
Phoenix, AZ 85018-3588
Phone (602) 956-4040

Other identifiers 3

IdentifierTypeStateIssuer
120355OtherAZMEDICARE PROVIDER TRANSACTION ACCESS NUMBER (PTAN)
852675OtherAZAHCCCS ID#
AZ0294160OtherAZBCBS OF AZ PROVIDER ID#

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080229000296 AZ Practitioner - Physical Therapist in Private Practice 7517041528 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Emory University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endurance Rehabilitation LLCGroup PAC ID 6103861687, 13 clinicians

Practice addresses (Care Compare)

4440 N 36TH St
Suite 240
Phoenix, AZ 85018-3592
Phone (602) 956-4040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6024AZMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Endurance Rehabilitation LLC Current Accepting new patients
BHSM Rehabilitation LLC CurrentSince Mar 30, 2026 Accepting new patients
Endurance Rehabilitation LLC Physical Therapist CurrentSince Jan 3, 2012 Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Mar 30, 2026 Accepting new patients
Endurance Rehabilitation LLC Physical Therapist CurrentSince Jan 3, 2012 Accepting new patients

Locations

1828 E Florence Blvd
Ste 102
Casa Grande, AZ 85122
Phone (520) 381-6300

655 S Dobson Rd
Ste B111
Chandler, AZ 85224
Phone (480) 426-8019

2940 E Banner Gateway Dr
Ste 350
Gilbert, AZ 85234
Phone (480) 813-7900

17430 N Porter Rd
Ste 110
Maricopa, AZ 85138
Phone (520) 208-2033

1309 N Greenfield Rd
Ste 102
Mesa, AZ 85205
Phone (480) 210-1706

2225 W Southern Ave
Bldg 1300
Mesa, AZ 85202
Phone (480) 285-4565

1255 W Baseline Rd
Ste 140
Mesa, AZ 85202
Phone (480) 820-7675

6636 E Baseline Rd
Ste 102
Mesa, AZ 85206
Phone (480) 550-9100

4440 N 36th St
Ste 240
Phoenix, AZ 85018
Phone (602) 956-4040

2222 E Highland Ave
Ste 310
Phoenix, AZ 85016
Phone (602) 512-8550

9376 E Bahia Dr
Ste 103
Scottsdale, AZ 85260
Phone (480) 556-8406

9377 E Bell Rd
Ste 349
Scottsdale, AZ 85260
Phone (602) 313-1549

9376 E Bahia Dr
Scottsdale, AZ 85260
Phone (480) 556-8406

5002 S Mill Ave
Ste 105
Tempe, AZ 85282
Phone (602) 512-8607

6200 S McClintock Dr
Ste 115
Tempe, AZ 85283
Phone (480) 664-2270

1025 E Broadway Rd
Ste 101
Tempe, AZ 85282
Phone (480) 829-0217

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1376617951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 N 36TH ST",
            "address_2": "240",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183588",
            "telephone_number": "602-956-4040",
            "fax_number": "602-956-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 N 36TH ST",
            "address_2": "240",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183588",
            "telephone_number": "602-956-4040",
            "fax_number": "602-956-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTT",
        "first_name": "KRISTINA",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER TRANSACTION ACCESS NUMBER (PTAN)",
            "identifier": "120355",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS ID#",
            "identifier": "852675",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AZ PROVIDER ID#",
            "identifier": "AZ0294160",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.