Kristen Z. Grbavac O'Halloran, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT04909 Issued in OR

Practice address

1515 Portland Road
Suite 102
Newberg, OR 97132

Phone

(503) 537-1462

Fax

(503) 537-1808

NPI assigned

Oct 12, 2012

Last updated

Mar 8, 2017By 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 2

Addresses

Other names 1

• Kristen Zarosinski Grbavac Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Ability Pro Therapy, LLC

  • Physical Therapist
  • Atlanta, GA
  • NPI 1962950907
  NPD (past)

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1700138856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 PORTLAND ROAD",
            "address_2": "SUITE 102",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "97132",
            "telephone_number": "503-537-1462",
            "fax_number": "503-537-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 PORTLAND ROAD",
            "address_2": "SUITE 102",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "97132",
            "telephone_number": "503-537-1462",
            "fax_number": "503-537-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HALLORAN",
        "first_name": "KRISTEN",
        "middle_name": "Z. GRBAVAC",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-12",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009008",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "PT04909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "GRBAVAC",
            "middle_name": "ZAROSINSKI",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Northwest Extremity Specialists LLC
• Northwest Integrative Health Center PC
• Northwest Neurohealth LLC
• Gretchen Marie Nylander, ATC
• Riley O'Donnell
• Brian Ogle, D.M.D.
• D'Anne Olsen, LMT
• Michael Ford Olson, PT
• Tochukwu Chinwendu Onwuachusi-Okeke, DDS
• Oregon Clinic PC

• Physical Therapist in Newberg, OR
• Providers in Newberg, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.