Individual provider Active NPI

Tristin King, PT, DPT

  • Physical Therapist
  • Fort Atkinson, WI
National Provider Identifier
1831950872
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14239822-2401 Issued in UT
Practice address
1504 Madison Ave
Fort Atkinson, WI 53538-3100
Phone
(920) 563-9357
NPI assigned
Jan 17, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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 16619-24 WI
Physical Therapist 225100000X 14239822-2401 UT Primary

Addresses

Primary practice location

1504 Madison Ave
Fort Atkinson, WI 53538-3100

Mailing address

1806 Yakima Valley Hwy # C
Sunnyside, WA 98944-1261

Other practice location 1

111 W South 1st St Unit A
Johnstown, CO 80534-9232
Phone (970) 510-8216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250919004149 AZ Practitioner - Physical Therapist in Private Practice 3779087820 Reassigns benefits to 1 organization
I20260527001460 CO Practitioner - Physical Therapist in Private Practice 3779087820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tucson Orthopaedic Institute Professional CorporationGroup PAC ID 5799671905, 108 clinicians
Rocky Mountain Physical Therapy, IncGroup PAC ID 6901947647, 22 clinicians

Practice addresses (Care Compare)

12315 N Vistoso Park Rd
Oro Valley, AZ 85755-5819
Phone (520) 544-9700

16677 Lowell Blvd
Unit 101
Broomfield, CO 80023-8053
Phone (720) 510-2370

2121 E Harmony Rd
Suite 310
Fort Collins, CO 80528-9503
Phone (970) 672-8875

6200 W 9TH St
Unit 5
Greeley, CO 80634-4462
Phone (970) 301-4596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14239822-2401UTMDPhysical Therapist
16619-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Orthopaedic Institute Professional Corporation Physical Therapist CurrentSince Sep 8, 2025 Accepting new patients
Tucson Orthopaedic Institute Professional Corporation Physical Therapist CurrentSince Sep 8, 2025 Accepting new patients

Locations

12315 N Vistoso Park Rd
Oro Valley, AZ 85755
Phone (520) 382-8180

6320 N La Cholla Blvd
Ste 200
Tucson, AZ 85741

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1831950872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 YAKIMA VALLEY HWY # C",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989441261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 MADISON AVE",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535383100",
            "telephone_number": "920-563-9357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 W South 1st St Unit A",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "CO",
            "postal_code": "805349232",
            "country_code": "US",
            "telephone_number": "970-510-8216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "TRISTIN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-17",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "16619-24",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "14239822-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Atkinson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.