Individual provider Active NPI

Kristina Marie Maus, PT, DPT

  • Neurology Physical Therapist
  • Lexington, KY
National Provider Identifier
1760026744
Registry record updated Aug 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
007683 Issued in KY
Practice address
448 Lewis Hargett Cir Unit 150
Lexington, KY 40503-3594
Phone
(859) 313-5250
NPI assigned
Nov 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X 007683 KY Primary

Addresses

Primary practice location

448 Lewis Hargett Cir Unit 150
Lexington, KY 40503-3594

Mailing address

222 Midland Ave Apt 6106
Lexington, KY 40508-2245
Phone (937) 474-8664

Other practice location 1

103 Windsor Path
Georgetown, KY 40324-9610
Phone (502) 863-3870

Other names 1

  • Kristina Marie Bova Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
007683KYMDNeurology Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598140800000",
    "number": "1760026744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 MIDLAND AVE APT 6106",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405082245",
            "telephone_number": "937-474-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 LEWIS HARGETT CIR UNIT 150",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033594",
            "telephone_number": "859-313-5250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Windsor Path",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "KY",
            "postal_code": "403249610",
            "country_code": "US",
            "telephone_number": "502-863-3870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAUS",
        "first_name": "KRISTINA",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2020-08-23",
        "certification_date": "2020-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "KY",
            "license": "007683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "BOVA",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2020; 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.