Active NPI
Kristin Hallberg
- Physical Therapist
- Orlando, FL
National Provider Identifier
1851828628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT32391
- Practice address
- 6052 Turkey Lake Rd Ste 118
Orlando, FL 32819-4223 - Phone
- (407) 305-2511
- Fax
- (407) 537-6555
- NPI assigned
- May 11, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT32391 | FL | Primary |
Addresses
Primary practice location
6052 Turkey Lake Rd Ste 118
Orlando, FL 32819-4223
Mailing address
7502 John Hancock Dr
Winter Garden, FL 34787-5197
Phone (407) 484-8368
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT32391 | FL | MD | Physical Therapist |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675296000000",
"number": "1851828628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7502 JOHN HANCOCK DR",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347875197",
"telephone_number": "407-484-8368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6052 TURKEY LAKE RD STE 118",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328194223",
"telephone_number": "407-305-2511",
"fax_number": "407-537-6555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLBERG",
"first_name": "KRISTIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2023-02-02",
"certification_date": "2023-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT32391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.