Active NPI
Kristyn Folsom, PT, DPT
- Physical Therapist
- Lake City, FL
National Provider Identifier
1609244656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT30397
- Practice address
- 1438 SW Main Blvd
Lake City, FL 32025-1106 - Phone
- (386) 755-3164
- NPI assigned
- Sep 8, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT30397 | FL | Primary |
Addresses
Primary practice location
1438 SW Main Blvd
Lake City, FL 32025-1106
Mailing address
1438 SW Main Blvd
Lake City, FL 32025-1106
Phone (386) 755-3164
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 |
|---|---|---|---|
| PT30397 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458691200000",
"number": "1609244656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1438 SW MAIN BLVD",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320251106",
"telephone_number": "386-755-3164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1438 SW MAIN BLVD",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320251106",
"telephone_number": "386-755-3164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOLSOM",
"first_name": "KRISTYN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-08",
"last_updated": "2016-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT30397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.