Active NPI
Kristina Lott, PT
- Physical Therapist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6024
- 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, 2016
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120355 | Other | AZ | MEDICARE PROVIDER TRANSACTION ACCESS NUMBER (PTAN) |
| 852675 | Other | AZ | AHCCCS ID# |
| AZ0294160 | Other | AZ | BCBS OF AZ PROVIDER ID# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6024 | AZ | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endurance Rehabilitation LLC | Current | Accepting new patients | |
| BHSM Rehabilitation LLC | Current | Accepting new patients | |
| Endurance Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| BHSM Rehabilitation, LLC | Current | Accepting new patients | |
| Endurance Rehabilitation LLC | Physical Therapist | Current | 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.
-
- Orthopedic Physical Therapist
- Scottsdale, AZ
- NPI 1619974052
-
dba Banner Physical Therapy
- Physical Therapy Clinic/Center
- Buckeye, AZ
- NPI 1467129684
-
- Physical Therapy Clinic/Center
- Phoenix, AZ
- NPI 1538867775
-
dba Banner Physical Therapy
- Physical Therapy Clinic/Center
- Bullhead City, AZ
- NPI 1093681033
-
dba Endurance Rehabilitation Arcadia
- Physical Therapist
- Phoenix, AZ
- NPI 1194886556
-
- Physical Therapist
- Scottsdale, AZ
- NPI 1497061774
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.