Active NPI
Kristen Taranto Humphries, PT, DPT, ATC, LAT
- Physical Therapist
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT30388
- Practice address
- 1880 W Orange Grove Rd
Tucson, AZ 85704-1129 - Phone
- (520) 884-9819
- Fax
- (520) 884-0175
- NPI assigned
- Sep 18, 2015
- Last updated
- Jan 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10971 | TN | |
| Physical Therapist | 225100000X | LPT30388 | AZ | Primary |
| Athletic Trainer | 2255A2300X | AL3752 | FL |
Addresses
Primary practice location
1880 W Orange Grove Rd
Tucson, AZ 85704-1129
Mailing address
1777 W Saint Marys Rd
Tucson, AZ 85745-2687
Phone (520) 884-9819
Other practice location 1
4635 Greenway Dr
Unit B
Knoxville, TN 37918-2118
Phone (865) 546-0801
Other names 1
- Miss Kristen Mary Taranto
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10971 | TN | MD | Pharmacist |
| LPT30388 | AZ | MD | Physical Therapist |
| AL3752 | FL | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Physical Therapy of Georgia, LLC | Current | Accepting new patients | |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001
6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923
8823 Production Ln
Ooltewah, TN 37363
Phone (423) 238-8923
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.
-
- Physical Therapy Clinic/Center
- Roswell, GA
- NPI 1184959645
-
dba Benchmark PT
- Occupational Therapist
- Gainesville, GA
- NPI 1306013941
Physical Therapist
-
dba BenchMark Physical Therapy
- Physical Therapist
- Fort Oglethorpe, GA
- NPI 1780636068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547596800000",
"number": "1558730655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1777 W SAINT MARYS RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857452687",
"telephone_number": "520-884-9819",
"fax_number": "520-884-0175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1880 W ORANGE GROVE RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857041129",
"telephone_number": "520-884-9819",
"fax_number": "520-884-0175"
}
],
"practiceLocations": [
{
"address_1": "4635 Greenway Dr",
"address_2": "Unit B",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379182118",
"country_code": "US",
"telephone_number": "865-546-0801",
"fax_number": "865-546-0086",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUMPHRIES",
"first_name": "KRISTEN",
"middle_name": "TARANTO",
"name_prefix": "Dr.",
"credential": "PT, DPT, ATC, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-18",
"last_updated": "2019-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "10971",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT30388",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL3752",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "TARANTO",
"middle_name": "MARY",
"prefix": "MISS",
"credential": "ATC, LAT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.