Individual provider Active NPI

Kristen M Carless, DPT

  • Physical Therapist
  • San Luis Obispo, CA
National Provider Identifier
1518265834
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
37624 Issued in CA
Practice address
211 Tank Farm Rd Ste a
San Luis Obispo, CA 93401-7509
Phone
(805) 439-3900
Fax
(805) 439-3901
NPI assigned
Mar 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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 37624 CA Primary

Addresses

Primary practice location

211 Tank Farm Rd Ste a
San Luis Obispo, CA 93401-7509

Mailing address

211 Tank Farm Rd Ste a
San Luis Obispo, CA 93401-7509
Phone (805) 439-3900

Other practice location 1

1194 Bedford Ct
San Luis Obispo, CA 93401-8606
Phone (805) 714-5699

Other practice location 2

211 Tank Farm Rd Ste B
San Luis Obispo, CA 93401-7509
Phone (805) 714-5699

Other identifiers 1

IdentifierTypeStateIssuer
PT37624OtherCALICENSE

Other names 1

  • Kristen M Abel Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110420000169 CA Practitioner - Physical Therapist in Private Practice 1557546421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Physical Therapy and Wellness Center, PCGroup PAC ID 1254665441, 8 clinicians

Practice addresses (Care Compare)

211 Tank Farm Rd
Suite a
San Luis Obispo, CA 93401-7509
Phone (805) 439-3900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Physical Therapy and Wellness Center, PC Physical Therapist CurrentSince Jan 1, 2019 Accepting new patients
Timothy H. Jones, M.D., Inc. PastSince Feb 28, 2019 Accepting new patients
San Luis Physical Therapy & Orthopedic Rehabilitation Inc Physical Therapist Past Accepting new patients
San Luis Physical Therapy & Orthopedic Rehabilitation Inc Physical Therapist Past Accepting new patients

Locations

211 Tank Farm Rd
Ste B
San Luis Obispo, CA 93401
Phone (805) 714-5699

211 Tank Farm Rd
Ste A
Sn Luis Obisp, CA 93401
Phone (805) 439-3900

Organizations & group practices 4

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": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1518265834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 TANK FARM RD STE A",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017509",
            "telephone_number": "805-439-3900",
            "fax_number": "805-439-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 TANK FARM RD STE A",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017509",
            "telephone_number": "805-439-3900",
            "fax_number": "805-439-3901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1194 Bedford Ct",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934018606",
            "country_code": "US",
            "telephone_number": "805-714-5699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 Tank Farm Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934017509",
            "country_code": "US",
            "telephone_number": "805-714-5699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLESS",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-10",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "37624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT37624",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "ABEL",
            "middle_name": "M",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.