Active NPI
Kristen Nicole Robles, DPT
- Physical Therapist
- Gainesville, FL
National Provider Identifier
1952792269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT30084
- Practice address
- 4421 NW 39TH Avenue, Suite 2-2
Gainesville, FL 32606 - Phone
- (352) 336-1433
- Fax
- (352) 336-9980
- NPI assigned
- Feb 9, 2015
- 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 | PT30084 | FL | Primary |
Addresses
Primary practice location
4421 NW 39TH Avenue, Suite 2-2
Gainesville, FL 32606
Mailing address
4421 NW 39TH Avenue, Suite 2-2
Gainesville, FL 32606
Phone (352) 336-1433
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 |
|---|---|---|---|
| PT30084 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clear Passage Therapies | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Gainesville, FL
- NPI 1912110362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558569600000",
"number": "1952792269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4421 NW 39TH AVENUE, SUITE 2-2",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32606",
"telephone_number": "352-336-1433",
"fax_number": "352-336-9980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4421 NW 39TH AVENUE, SUITE 2-2",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32606",
"telephone_number": "352-336-1433",
"fax_number": "352-336-9980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBLES",
"first_name": "KRISTEN",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-09",
"last_updated": "2019-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT30084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.