Active NPI
Kristen Fay Brenner, DPT
- Physical Therapist
- Boca Raton, FL
National Provider Identifier
1891125761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 28825
- Practice address
- 5458 Town Center Rd
Suite 10
Boca Raton, FL 33486-1089 - Phone
- (561) 376-2573
- NPI assigned
- Nov 13, 2013
- 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 | 28825 | FL | Primary |
Addresses
Primary practice location
5458 Town Center Rd
Suite 10
Boca Raton, FL 33486-1089
Mailing address
5458 Town Center Rd
Suite 10
Boca Raton, FL 33486-1089
Phone (561) 376-2573
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 |
|---|---|---|---|
| 28825 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384300800000",
"number": "1891125761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5458 TOWN CENTER RD",
"address_2": "SUITE 10",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334861089",
"telephone_number": "561-376-2573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5458 TOWN CENTER RD",
"address_2": "SUITE 10",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334861089",
"telephone_number": "561-376-2573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNER",
"first_name": "KRISTEN",
"middle_name": "FAY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-13",
"last_updated": "2013-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "28825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.