Individual provider Active NPI

Kristen Tassinari, PTA

  • Physical Therapy Assistant
  • Charlotte, NC
National Provider Identifier
1427756311
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A8063 Issued in NC
Practice address
3000 Latrobe Dr Ste a
Charlotte, NC 28211-5227
Phone
(980) 819-8020
NPI assigned
Feb 20, 2023
Last updated
Feb 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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 A8063 NC Primary

Addresses

Primary practice location

3000 Latrobe Dr Ste a
Charlotte, NC 28211-5227

Mailing address

3000 Latrobe Dr Ste a
Charlotte, NC 28211-5227
Phone (980) 819-8020

Other identifiers 1

IdentifierTypeStateIssuer
A8063OtherNCLICENSE NUMBER

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
A8063NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Rehab Associates, P.C. CurrentSince Apr 3, 2023 Accepting new patients

Locations

3000 Latrobe Dr
Ste A
Charlotte, NC 28211
Phone (980) 819-8020

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, 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": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1427756311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 LATROBE DR STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282115227",
            "telephone_number": "980-819-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 LATROBE DR STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282115227",
            "telephone_number": "980-819-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASSINARI",
        "first_name": "KRISTEN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A8063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "A8063",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.