Kristin Timm Doelitsch, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5524 Issued in SC

Practice address

14201 W Sunrise Blvd Ste 107
Sunrise, FL 33323-3207

Phone

(954) 756-2818

Fax

(954) 514-1126

NPI assigned

Jul 10, 2007

Last updated

Jul 10, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adults to Pediatrics Therapy LLC

  dba Atp

  • Clinic/Center
  • Sunrise, FL
  • NPI 1114151362

  Physical Therapist

  NPD (past)
• Impact Therapy, LLC

  • Physical Therapist
  • Mount Pleasant, SC
  • NPI 1336325984
  NPD (past)
• Rehabilitation Centers of Charleston, LLC

  • Physical Therapist
  • Mount Pleasant, SC
  • NPI 1205842762
  NPD (past)

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1922206184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 W SUNRISE BLVD STE 107",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233207",
            "telephone_number": "954-756-2818",
            "fax_number": "954-514-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 W SUNRISE BLVD STE 107",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233207",
            "telephone_number": "954-756-2818",
            "fax_number": "954-514-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOELITSCH",
        "first_name": "KRISTIN",
        "middle_name": "TIMM",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART A #",
            "identifier": "426567",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1753",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH1811",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Sunrise",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Sunrise",
            "address_1": "14201 W Sunrise Blvd Ste 107",
            "city": "Sunrise",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333233207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hai Quang Doan, PHARM.D
• Doctor United Group Inc (Doctors United Group, Inc.)
• Doctor's Medical Associates LLC
• Doctor's Orders
• Doctors Chiropractic Center Inc.
• Maureen Ann Doherty, DO
• Steven Donald Dolberg, DC
• Robert S. Dolgow, D.M.D.
• Mariza Domingues Coxa
• Ashley N Dominguez

• Physical Therapist in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.