Individual provider Active NPI

Kristina Hsieh, PT, DPT

  • Physical Therapist
  • Rockville, MD
National Provider Identifier
1760015200
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27787 Issued in MD
Practice address
1509 Baylor Ave
Rockville, MD 20850-1026
Phone
(240) 305-8408
NPI assigned
Feb 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 27787 MD
Physical Therapist 225100000X 27787 MD Primary

Addresses

Primary practice location

1509 Baylor Ave
Rockville, MD 20850-1026

Mailing address

1509 Baylor Ave
Rockville, MD 20850-1026
Phone (240) 305-8408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210505002746 DC Practitioner - Physical Therapist in Private Practice 7214346139 Reassigns benefits to 1 organization
I20240314000046 MD Practitioner - Physical Therapist in Private Practice 7214346139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Jan Active Therapy LLCGroup PAC ID 9133489776, 2 clinicians

Practice addresses (Care Compare)

Rockville, MD 20850
Phone (301) 744-9673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27787MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jan Active Therapy LLC Physical Therapist CurrentSince Jan 31, 2024 Accepting new patients
Chinese Culture and Community Services Center, Inc. Past Accepting new patients

Locations

9135 Guilford Rd
Ste 100
Columbia, MD 21046
Phone (301) 725-7088

11403 Cronhill Dr
Ste D
Owings Mills, MD 21117
Phone (240) 441-5544

Organizations & group practices 3

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": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1760015200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 BAYLOR AVE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501026",
            "telephone_number": "240-305-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 BAYLOR AVE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501026",
            "telephone_number": "240-305-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSIEH",
        "first_name": "KRISTINA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "27787",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.