Individual provider Active NPI

Krista Hambley, MPT

  • Geriatric Physical Therapist
  • San Diego, CA
National Provider Identifier
1619338522
Registry record updated Mar 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
43066 Issued in CA
Practice address
3760 Convoy St Ste 204
San Diego, CA 92111-3744
Phone
(858) 514-0383
NPI assigned
Mar 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 43066 CA Primary

Addresses

Primary practice location

3760 Convoy St Ste 204
San Diego, CA 92111-3744

Mailing address

1108 Marlin CT
Oceanside, CA 92058-1004
Phone (419) 206-1688

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

NPI Registry JSON

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

{
    "created_epoch": "1458345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458345600000",
    "number": "1619338522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 MARLIN CT",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920581004",
            "telephone_number": "419-206-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 CONVOY ST STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113744",
            "telephone_number": "858-514-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBLEY",
        "first_name": "KRISTA",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-19",
        "last_updated": "2016-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "43066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.

Verify at the official NPI Registry.