Individual provider Active NPI

Kristen E Crist, DPT

  • Physical Therapist
  • Beachwood, OH
National Provider Identifier
1902256779
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016365 Issued in OH
Practice address
24400 Highpoint Rd
Suite 10
Beachwood, OH 44122-6054
Phone
(216) 896-0824
Fax
(216) 896-0825
NPI assigned
Jun 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT016365 OH Primary

Addresses

Primary practice location

24400 Highpoint Rd
Suite 10
Beachwood, OH 44122-6054

Mailing address

24400 Highpoint Rd
Suite 10
Beachwood, OH 44122-6054
Phone (216) 896-0824

Other names 1

  • Kristen E Ruchtie Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161116002859 OH Practitioner - Physical Therapist in Private Practice 3870872757 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT016365OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Action Physical Therapy and Rehabilitation, Inc. Physical Therapist CurrentSince Feb 4, 2022 Accepting new patients
Action Physical Therapy and Rehabilitation, Inc Physical Therapist CurrentSince Feb 4, 2022 Accepting new patients
Action Physical Therapy and Rehabilitation, Inc. Physical Therapist Current Accepting new patients
Action Physical Therapy and Rehabilitation, Inc. Physical Therapist Past Accepting new patients
Action Physical Therapy and Rehabilitation, Inc Physical Therapist Past Accepting new patients
Novacare Rehabilitation of Ohio Inc Past Accepting new patients

Locations

168 S High St
Cortland, OH 44410
Phone (330) 534-8500

609 W Liberty St
Hubbard, OH 44425
Phone (330) 534-8500

2311 E State St
Salem, OH 44460
Phone (234) 320-4080

Interoperability endpoints

  • Direct secure messaging: kcrist39120@ehrdirect.uhhospitals.org

Organizations & group practices 6

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": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1902256779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24400 HIGHPOINT RD",
            "address_2": "SUITE 10",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441226054",
            "telephone_number": "216-896-0824",
            "fax_number": "216-896-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24400 HIGHPOINT RD",
            "address_2": "SUITE 10",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441226054",
            "telephone_number": "216-896-0824",
            "fax_number": "216-896-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIST",
        "first_name": "KRISTEN",
        "middle_name": "E",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT016365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "RUCHTIE",
            "middle_name": "E",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.