Individual provider Active NPI

Kristine Jukes, P.T.

  • Physical Therapist
  • Estero, FL
National Provider Identifier
1811016447
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT38216 Issued in FL
Practice address
9351 Corkscrew Rd Ste 103
Estero, FL 33928-6801
Phone
(239) 687-3199
Fax
(855) 398-9437
NPI assigned
Mar 28, 2007
Last updated
Jun 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 014637-1 NY
Physical Therapist 225100000X PT38216 FL Primary

Addresses

Primary practice location

9351 Corkscrew Rd Ste 103
Estero, FL 33928-6801

Mailing address

9351 Corkscrew Rd Ste 103
Estero, FL 33928-6801
Phone (239) 687-3199

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
014637-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Physical Therapy PC Physical Therapist PastSince Jun 1, 2007 Accepting new patients

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1811016447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9351 CORKSCREW RD STE 103",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339286801",
            "telephone_number": "239-687-3199",
            "fax_number": "855-398-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9351 CORKSCREW RD STE 103",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339286801",
            "telephone_number": "239-687-3199",
            "fax_number": "855-398-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUKES",
        "first_name": "KRISTINE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014637-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT38216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Estero, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.