Individual provider Active NPI

Kristin Peragine, PHYSICAL THERAPIST

  • Physical Therapist
  • Parkland, FL
National Provider Identifier
1821253667
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19872 Issued in FL
Practice address
5851 Holmberg Rd
Apt #926
Parkland, FL 33067-4536
Phone
(917) 921-9330
NPI assigned
Jul 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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 19872 FL Primary

Addresses

Primary practice location

5851 Holmberg Rd
Apt #926
Parkland, FL 33067-4536

Mailing address

5851 Holmberg Rd
Apt #926
Parkland, FL 33067-4536

Other identifiers 1

IdentifierTypeStateIssuer
8913692 00MedicaidFL

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
023520NYMDPsychologist
19872FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1821253667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 HOLMBERG RD",
            "address_2": "APT #926",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330674536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 HOLMBERG RD",
            "address_2": "APT #926",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330674536",
            "telephone_number": "917-921-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERAGINE",
        "first_name": "KRISTIN",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "19872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8913692 00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.