Kristen Fogle, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-014353 Issued in OH

Practice address

1550 Old Henderson Rd Ste S-204
Columbus, OH 43220-3626

Phone

(614) 657-5930

NPI assigned

Jun 25, 2014

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599436800000",
    "number": "1568877751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 HEPPLEWHITE ST",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430811118",
            "telephone_number": "614-657-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 OLD HENDERSON RD STE S-204",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203626",
            "telephone_number": "614-657-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGLE",
        "first_name": "KRISTEN",
        "name_prefix": "Ms.",
        "credential": "DPT, PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2020-09-07",
        "certification_date": "2020-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "014353",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT-014353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Martin Fogarty IV, D.O.
• Leah Fogel
• Rachel A Fogerty, PD
• Shruti Fogla, MS, LGC
• Gretchen Fogle
• Jennifer Fogt, OD
• Justin Fogt, LSW
• Nicklaus Fogt, O.D.
• Delvise Teko Awah Fogwe, MD
• Samuel Fojas

• Physical Therapist in Columbus, OH
• Providers in Columbus, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.