Kristen Rayburn Mortensen, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4405 Issued in SC

Practice address

1310 Garlington Rd Ste a
Suite a
Greenville, SC 29615-5485

Phone

(864) 288-2998

Fax

(864) 288-3522

NPI assigned

Mar 27, 2006

Last updated

Apr 22, 2011By 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 1

Addresses

Other identifiers 1

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.

• Premier Physical Therapy of the Upstate LLC

  • Physical Therapist
  • Greenville, SC
  • NPI 1720148943
  NPD (past)
• Upper Extremity Rehab Specialists, PA

  dba Physical Therapy &Upper Extremity Specialists

  • Occupational Therapist
  • Greenville, SC
  • NPI 1467405860

  Physical Therapist

  NPD (past)
• Medical Rehabilitation Systems, LLC

  • Physical Therapist
  • Grantsville, MD
  • NPI 1861500233
  NPD (past)

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303430400000",
    "number": "1780644310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 GARLINGTON RD STE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296155485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 GARLINGTON RD STE A",
            "address_2": "SUITE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296155485",
            "telephone_number": "864-288-2998",
            "fax_number": "864-288-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTENSEN",
        "first_name": "KRISTEN",
        "middle_name": "RAYBURN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2011-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH1496",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dustin Stephen Morrow
• Jeanne C Morrow, MD
• Webber Morrow
• Jana Morse, M.D.
• Linda Morten, LISW CP LPC
• Jason L Mortenson, CRNA
• Ann Whitney Morton, M.A. CCC-SLP
• Megan Isabele Morton
• Willie Lee Morton Jr., BSW
• Phillip Charles Moschella, M.D. PH. D.

• Physical Therapist in Greenville, SC
• Providers in Greenville, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; 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.