Individual provider Active NPI

Kristen Fitz Taylor, PT

  • Physical Therapist
  • Lacey, WA
National Provider Identifier
1710937057
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00008061 Issued in WA
Practice address
4044 15TH Ave SE
Suite B
Lacey, WA 98503-6962
Phone
(360) 456-5154
NPI assigned
May 10, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00008061 WA Primary

Addresses

Primary practice location

4044 15TH Ave SE
Suite B
Lacey, WA 98503-6962

Mailing address

3014 Wintergarden Dr SE
Olympia, WA 98501-6651
Phone (360) 236-1392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071018000827 WA Practitioner - Physical Therapist in Private Practice 1557463247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Penrose and Associates Physical Therapy LLCGroup PAC ID 1052403896, 11 clinicians

Practice addresses (Care Compare)

1445 Galaxy Dr NE
Suite 301
Lacey, WA 98516-4754
Phone (360) 456-1444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT00008061WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Penrose & Associates Physical Therapy LLC CurrentSince Apr 16, 2024 Accepting new patients

Locations

1445 Galaxy Dr NE
Lacey, WA 98516
Phone (360) 456-1444

1445 Galaxy Dr NE
Ste 301
Lacey, WA 98516
Phone (360) 456-1444

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1710937057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 WINTERGARDEN DR SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985016651",
            "telephone_number": "360-236-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4044 15TH AVE SE",
            "address_2": "SUITE B",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985036962",
            "telephone_number": "360-456-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KRISTEN",
        "middle_name": "FITZ",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.