Individual provider Active NPI

Kriste Aukstuolis

  • Speech-Language Pathologist
  • Glenn Dale, MD
National Provider Identifier
1649743014
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
6700 Glenn Dale Rd
Glenn Dale, MD 20769-9407
Phone
(301) 805-2750
NPI assigned
Jan 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

6700 Glenn Dale Rd
Glenn Dale, MD 20769-9407

Mailing address

1021 S Barton St Unit 121
Arlington, VA 22204-4830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210203000588 OH Practitioner - Physical Medicine and Rehabilitation 4082028063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Care Therapy LLCGroup PAC ID 5890122816, 109 clinicians

Practice addresses (Care Compare)

6099 Riverside Dr
Suite 207
Dublin, OH 43017-2004
Phone (740) 953-1184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Care Therapy LLC Speech-Language Pathologist CurrentSince Jan 11, 2021 Accepting new patients

Locations

6099 Riverside Dr
Ste 207
Dublin, OH 43017
Phone (614) 271-2625

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1649743014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 S BARTON ST UNIT 121",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222044830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 GLENN DALE RD",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699407",
            "telephone_number": "301-805-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUKSTUOLIS",
        "first_name": "KRISTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenn Dale, MD

Sources for this page

Verify at the official NPI Registry.