Individual provider Active NPI

Kristin Michelle Angelopoulou, PT, DPT, OCS, MCMT

  • Orthopedic Physical Therapist
  • Oviedo, FL
National Provider Identifier
1851485841
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT 20515 Issued in FL
Practice address
2572 W State Road 426
Ste 1080
Oviedo, FL 32765-8389
Phone
(321) 319-0295
Fax
(407) 796-5260
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT 20515 FL Primary

Addresses

Primary practice location

2572 W State Road 426
Ste 1080
Oviedo, FL 32765-8389

Mailing address

2572 W State Road 426
Ste 1080
Oviedo, FL 32765-8389
Phone (321) 319-0295

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
PT 20515FLMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1851485841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2572 W STATE ROAD 426",
            "address_2": "STE 1080",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658389",
            "telephone_number": "321-319-0295",
            "fax_number": "407-796-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2572 W STATE ROAD 426",
            "address_2": "STE 1080",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658389",
            "telephone_number": "321-319-0295",
            "fax_number": "407-796-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELOPOULOU",
        "first_name": "KRISTIN",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, OCS, MCMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT 20515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.