Individual provider Active NPI

Kristen Cohen, PTA

  • Physical Therapy Assistant
  • Orlando, FL
National Provider Identifier
1609385228
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA25084 Issued in FL
Practice address
4680 Lake Underhill Rd
Orlando, FL 32807-1182
Phone
(407) 852-3300
NPI assigned
Sep 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA25084 FL Primary

Addresses

Primary practice location

4680 Lake Underhill Rd
Orlando, FL 32807-1182

Mailing address

4700 Buggy Whip LN Apt 2
Orlando, FL 32812-5243
Phone (727) 504-6781

Other practice location 1

250 S Chickasaw Trl
Orlando, FL 32825-3503
Phone (407) 380-3466

Other practice location 2

1000 W Broadway St Ste 214
Oviedo, FL 32765-9262
Phone (407) 359-5693

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA25084FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1609385228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 BUGGY WHIP LN APT 2",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328125243",
            "telephone_number": "727-504-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4680 LAKE UNDERHILL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328071182",
            "telephone_number": "407-852-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 S Chickasaw Trl",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328253503",
            "country_code": "US",
            "telephone_number": "407-380-3466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W Broadway St Ste 214",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327659262",
            "country_code": "US",
            "telephone_number": "407-359-5693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN",
        "first_name": "KRISTEN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA25084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.

Verify at the official NPI Registry.