Individual provider Active NPI

Kristen Leigh Zosel, PT, DPT, PHD, SCS

  • Physical Therapist
  • Richmond Hill, GA
National Provider Identifier
1457626608
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017401 Issued in GA
Practice address
10144 Ford Ave
Richmond Hill, GA 31324-3936
Phone
(912) 727-2321
NPI assigned
Mar 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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 PT017401 GA Primary

Addresses

Primary practice location

10144 Ford Ave
Richmond Hill, GA 31324-3936

Mailing address

10144 Ford Ave
Richmond Hill, GA 31324-3936
Phone (912) 727-2321

Other names 1

  • Kristen Leigh Wilburn Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260424000098 GA Practitioner - Physical Therapist in Private Practice 5890262117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
BCD Rehab and Fitness,LLCGroup PAC ID 1759690746, 11 clinicians

Practice addresses (Care Compare)

10144 Ford Ave
Richmond Hill, GA 31324-3936
Phone (912) 727-2321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PT017401GAMDPhysical Therapist

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1457626608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10144 FORD AVE",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243936",
            "telephone_number": "912-727-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10144 FORD AVE",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243936",
            "telephone_number": "912-727-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOSEL",
        "first_name": "KRISTEN",
        "middle_name": "LEIGH",
        "name_prefix": "Miss",
        "credential": "PT, DPT, PHD, SCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-20",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "WILBURN",
            "middle_name": "LEIGH",
            "credential": "PT, DPT, SCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.