Kristina Pittman, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60291789 Issued in WA

Practice address

4740 Avery LN SE
Lacey, WA 98503-5603

Phone

(360) 491-1815

Fax

(360) 491-1654

NPI assigned

Sep 11, 2012

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

• Kristina Fugere Former name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inspire Physical Therapy Inc PSGroup PAC ID 9830332337, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Inspire Physical Therapy, Inc., P.S.

  • Physical Therapist
  • Lacey, WA
  • NPI 1427497106
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384905600000",
    "number": "1639429319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 AVERY LN SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035603",
            "telephone_number": "360-491-1815",
            "fax_number": "360-491-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 AVERY LN SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035603",
            "telephone_number": "360-491-1815",
            "fax_number": "360-491-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "KRISTINA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2013-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60291789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "FUGERE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pioneer Family Practice, PLLC
• James Piotrowski
• Pistis Afh LLC
• Jesse Scott Pitman
• Loa Pitmon
• PJ Woods PS
• Megan E Plascencia, MA
• Play by Play Counseling
• Jennifer Anne Playstead, MD
• Jennifer Poe

• Physical Therapist in Lacey, WA
• Providers in Lacey, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.