Active NPI
Kristina L. Azbell, MHS, PT, PCS
- Pediatric Physical Therapist
- Centennial, CO
National Provider Identifier
1861609661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 3896
- Practice address
- 7703 S Jackson Cir
Centennial, CO 80122-3518 - Phone
- (303) 995-3403
- Fax
- (303) 740-7020
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 3896 | CO | Primary |
Addresses
Primary practice location
7703 S Jackson Cir
Centennial, CO 80122-3518
Mailing address
7703 S Jackson Cir
Centennial, CO 80122-3518
Phone (303) 995-3403
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 |
|---|---|---|---|
| 3896 | CO | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861609661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7703 S JACKSON CIR",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801223518",
"telephone_number": "303-995-3403",
"fax_number": "303-740-7020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7703 S JACKSON CIR",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801223518",
"telephone_number": "303-995-3403",
"fax_number": "303-740-7020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZBELL",
"first_name": "KRISTINA",
"middle_name": "L.",
"credential": "MHS, PT, PCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CO",
"license": "3896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.