Active NPI
Kristen Nicole Uradzionek, PT, DPT
- Physical Therapist
- Scottsdale, AZ
National Provider Identifier
1942878210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 31805
- Practice address
- 8850 E Pima Center Pkwy
Scottsdale, AZ 85258-4619 - Phone
- (480) 800-3900
- NPI assigned
- Jun 14, 2021
- Reactivated
- Oct 28, 2024
- Last updated
- Oct 28, 2024
- 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 | 31805 | AZ | Primary |
Addresses
Primary practice location
8850 E Pima Center Pkwy
Scottsdale, AZ 85258-4619
Mailing address
7100 W Grandview Rd Apt 2151
Peoria, AZ 85382-4928
Phone (636) 293-0817
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241107000385 | AZ | Practitioner - Physical Therapist in Private Practice | 4082148549 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31805 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1942878210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7100 W GRANDVIEW RD APT 2151",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853824928",
"telephone_number": "636-293-0817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8850 E PIMA CENTER PKWY",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584619",
"telephone_number": "480-800-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URADZIONEK",
"first_name": "KRISTEN",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-14",
"last_updated": "2024-10-28",
"certification_date": "2021-06-14",
"deactivation_date": "2021-06-14",
"reactivation_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "31805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.