Active NPI
Kristin Gardner, PTA
- Physical Therapy Assistant
- Concord, NH
National Provider Identifier
1457571036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 346
- Practice address
- 246 Pleasant St
Suite 104
Concord, NH 03301-2548 - Phone
- (603) 224-2699
- Fax
- (603) 227-7041
- NPI assigned
- Apr 26, 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 Therapy Assistant | 225200000X | 346 | NH | Primary |
Addresses
Primary practice location
246 Pleasant St
Suite 104
Concord, NH 03301-2548
Mailing address
84 Silver LN
Northfield, NH 03276-4114
Phone (603) 934-5504
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 |
|---|---|---|---|
| 346 | NH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457571036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 SILVER LN",
"city": "NORTHFIELD",
"state": "NH",
"postal_code": "032764114",
"telephone_number": "603-934-5504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 PLEASANT ST",
"address_2": "SUITE 104",
"city": "CONCORD",
"state": "NH",
"postal_code": "033012548",
"telephone_number": "603-224-2699",
"fax_number": "603-227-7041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "KRISTIN",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NH",
"license": "346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.