Individual provider Active NPI

Kristi D Kitchen, PTA

  • Physical Therapy Assistant
  • Scottsdale, AZ
National Provider Identifier
1386942852
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
0201A Issued in AZ
Practice address
10121 E Bell Rd
Suite 140
Scottsdale, AZ 85260-2187
Phone
(480) 419-3500
Fax
(480) 419-3522
NPI assigned
Mar 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 0201A AZ Primary

Addresses

Primary practice location

10121 E Bell Rd
Suite 140
Scottsdale, AZ 85260-2187

Mailing address

PO Box 18607
Fountain Hills, AZ 85269-8607
Phone (480) 415-0444

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

LicenseStateTypeSpecialty
0201AAZMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jeff Kitchen, Inc. Current Accepting new patients
Rehab Plus Orthopedics, LLC Past Accepting new patients

Locations

10121 E Bell Rd
Ste 140
Scottsdale, AZ 85260
Phone (480) 419-3500

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1386942852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18607",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852698607",
            "telephone_number": "480-415-0444",
            "fax_number": "480-419-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10121 E BELL RD",
            "address_2": "SUITE 140",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602187",
            "telephone_number": "480-419-3500",
            "fax_number": "480-419-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHEN",
        "first_name": "KRISTI",
        "middle_name": "D",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "0201A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.