Individual provider Active NPI

Kristina Chew

  • Community Health Worker
  • Boca Raton, FL
National Provider Identifier
1508251646
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
OT0004311 Issued in FL
Practice address
10284 186TH CT S
Boca Raton, FL 33498-6320
Phone
(561) 482-1261
NPI assigned
Apr 6, 2015
Last updated
Apr 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X OT0004311 FL Primary

Addresses

Primary practice location

10284 186TH CT S
Boca Raton, FL 33498-6320

Mailing address

10284 186TH CT S
Boca Raton, FL 33498-6320
Phone (561) 482-1261

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151023000008 FL Practitioner - Occupational Therapist in Private Practice 3173832631 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuro Physical Therapy and Sports Medicine LLCGroup PAC ID 0345668216, 5 clinicians
Leverage Health IncGroup PAC ID 4688860513, 32 clinicians

Practice addresses (Care Compare)

1840 N Dixie Hwy
Boca Raton, FL 33432-1845
Phone (561) 563-4846

6018 SW 18TH St
Suite C 11
Boca Raton, FL 33433-7166
Phone (561) 430-5345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT0004311FLMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro Physical Therapy & Sports Medicine LLC CurrentSince Nov 9, 2023 Accepting new patients
Neuro Physical Therapy & Sports Medicine II, LLC PastSince Apr 21, 2024 Accepting new patients

Locations

1840 N Dixie Hwy
Boca Raton, FL 33432
Phone (561) 563-4846

Organizations & group practices 3

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": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428278400000",
    "number": "1508251646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10284 186TH CT S",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986320",
            "telephone_number": "561-482-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10284 186TH CT S",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986320",
            "telephone_number": "561-482-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEW",
        "first_name": "KRISTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2015-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": "OT0004311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; 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.