Kristen Petros, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1990 Issued in WY

Practice address

2365 Flint Creek Dr
Cumming, GA 30041-6345

Phone

(770) 905-6947

NPI assigned

Sep 12, 2024

Last updated

Sep 12, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ryte Rehabilitation LLCGroup PAC ID 6608285481, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ryte Rehabilitation LLC

  • Physical Therapist
  • Thermopolis, WY
  • NPI 1790388478
  Medicare reassignment Care Compare group NPD
• William H and Carrie Gottsche Foundation

  dba Gottsche Rehabilitation Center

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Thermopolis, WY
  • NPI 1558319392
  Medicare reassignment NPD
• Holistic Pain Management of Wyoming, LLC

  • Family Nurse Practitioner
  • Riverton, WY
  • NPI 1487295846
  NPD (past)

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1538995816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 FLINT CREEK DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416345",
            "telephone_number": "770-905-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 FLINT CREEK DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416345",
            "telephone_number": "770-905-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROS",
        "first_name": "KRISTEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "1990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Peters, CPNP
• Stephanie Lynn Peterson-Eichhorn, M.A., CCC-SLP
• Jessica Lynn Peterson
• Isabel Petree
• Jason Alexander Petrofski, MD
• George S Petryk, DC,DACNB,FACFN,FABES
• James Michael Petway, M.D., F.C.C.P.
• Brittany Petz
• Allison B Phad, CCC-SLP
• Belinda Ho Phan, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.