Individual provider Active NPI

Kristina Boarts, DPT, CERT MDT

  • Orthopedic Physical Therapist
  • Norfolk, VA
National Provider Identifier
1487240586
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2305204700 Issued in VA
Practice address
6201 E Virginia Beach Blvd Ste 101
Norfolk, VA 23502-2824
Phone
(757) 261-0820
NPI assigned
Dec 14, 2020
Last updated
Dec 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 2305204700 VA Primary

Addresses

Primary practice location

6201 E Virginia Beach Blvd Ste 101
Norfolk, VA 23502-2824

Mailing address

6201 E Virginia Beach Blvd Ste 101
Norfolk, VA 23502-2824
Phone (757) 261-0820

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210107000039 VA Practitioner - Physical Therapist in Private Practice 8022421288 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1487240586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 E VIRGINIA BEACH BLVD STE 101",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022824",
            "telephone_number": "757-261-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 E VIRGINIA BEACH BLVD STE 101",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022824",
            "telephone_number": "757-261-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOARTS",
        "first_name": "KRISTINA",
        "credential": "DPT, CERT MDT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305204700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.