Active NPI
Kristeen Urena, PT, DPT
- Physical Therapist
- Atlanta, GA
National Provider Identifier
1831462720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT014047
- Practice address
- 285 Boulevard NE Ste 310
Atlanta, GA 30312-4209 - Phone
- (404) 581-9401
- NPI assigned
- Feb 23, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 034707-1 | NY | |
| Physical Therapist | 225100000X | PT014047 | GA | Primary |
Addresses
Primary practice location
285 Boulevard NE Ste 310
Atlanta, GA 30312-4209
Mailing address
6397 Lee Hwy Ste 300
Chattanooga, TN 37421-4915
Phone (423) 238-7217
Other practice location 1
248 W 80th St
5th Fl
New York, NY 10024-7608
Phone (212) 874-1550
Other practice location 2
3885 Princeton Lakes Way SW Ste 480
Atlanta, GA 30331-5589
Phone (404) 344-2823
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
| License | State | Type | Specialty |
|---|---|---|---|
| 034707 | NY | MD | Pharmacist |
| 034707-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Physical Therapy of New York, P.C. | Physical Therapist | Past | 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 and National Provider Directory roles.
-
- Physical Therapist
- Manlius, NY
- NPI 1912950072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667433600000",
"number": "1831462720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6397 LEE HWY STE 300",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374214915",
"telephone_number": "423-238-7217",
"fax_number": "423-238-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 BOULEVARD NE STE 310",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303124209",
"telephone_number": "404-581-9401"
}
],
"practiceLocations": [
{
"address_1": "248 W 80th St",
"address_2": "5th Fl",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100247608",
"country_code": "US",
"telephone_number": "212-874-1550",
"fax_number": "212-874-1599",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3885 Princeton Lakes Way SW Ste 480",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303315589",
"country_code": "US",
"telephone_number": "404-344-2823",
"fax_number": "404-629-3737",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "URENA",
"first_name": "KRISTEEN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-23",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "034707-1",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT014047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.