Kristin K Famiglietti, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

20486 Issued in MD

Practice address

24035 Three Notch Rd
Hollywood, MD 20636-4871

Phone

(301) 373-2588

Fax

(301) 373-4558

NPI assigned

Dec 17, 2006

Last updated

Dec 18, 2023By 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

Other names 1

• Kristin M Kirk Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1609939339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 IRVING ST NW",
            "address_2": "ATTN: MHPY PAYOR ENROLLMENT",
            "city": "WASHINGTON DC",
            "state": "DC",
            "postal_code": "200102921",
            "telephone_number": "301-581-8054",
            "fax_number": "301-564-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24035 THREE NOTCH RD",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "206364871",
            "telephone_number": "301-373-2588",
            "fax_number": "301-373-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAMIGLIETTI",
        "first_name": "KRISTIN",
        "middle_name": "K",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-17",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "KIRK",
            "middle_name": "M",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hanna Kristina Dennis, PA-C
• Stacey Dent, D.C.
• Jennifer Doney, PTA
• Wendy Kaye Drys, NP
• Lisa Early
• Rajbinderpal Gill
• Amanda Gordner
• Greenwell Foundation
• Vijaya Guduri
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• Physical Therapist in Hollywood, MD
• Providers in Hollywood, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.