Kristin Renee Ayers, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT011192 Issued in GA

Practice address

1336 Highway 54 W BLDG 500
Fayetteville, GA 30214-4574

Phone

(770) 461-1238

NPI assigned

Aug 8, 2006

Last updated

Jun 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Resurgens, LLCGroup PAC ID 1153224142, 184 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristin.ayers.1@15749.direct.athenahealth.com

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.

• Resurgens, LLC

  dba Resurgens Orthopaedics

  • Orthopaedic Surgery Physician
  • Atlanta, GA
  • NPI 1386697928
  Medicare reassignment Care Compare group NPD
• Resurgens, LLC

  dba Resurgens Orthopaedics

  • Orthopaedic Surgery Physician
  • Braselton, GA
  • NPI 1033919790
  NPD
• Vibrantcare Outpatient Rehabilitation West Inc

  dba VibrantCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Phoenix, AZ
  • NPI 1114921871
  NPD (past)
• Vibrantcare Outpatient Rehabilitation West Inc

  dba VibrantCare Outpatient Rehabilitation - Tucson East

  • Physical Therapy Clinic/Center
  • Tucson, AZ
  • NPI 1699779223
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1487664975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 HIDDEN VALLEY RD",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141418",
            "telephone_number": "602-531-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 HIGHWAY 54 W BLDG 500",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144574",
            "telephone_number": "770-461-1238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 E Greenway Pkwy Ste 12",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850222351",
            "country_code": "US",
            "telephone_number": "602-789-6878",
            "fax_number": "602-789-6708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYERS",
        "first_name": "KRISTIN",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011192",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "7246",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa M Avery, M.D.
• Stephen Otieno Awuor, M.D.
• David Wayne Aycock, PHD
• Kristen J Aycock, PH.D.
• Timothy James Aycock, PHD
• Babbling Bunch Speech Therapy LLC
• S. Bernard Bagley, LCSW
• Amanda Sullivan Bahler, APRN
• Kendra Bailey-Lyon, PT
• Alisha Bailey, RBT

• Physical Therapist in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.