Kristen Dragotta

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT35785 Issued in FL

Practice address

8876 A C Skinner Pkwy Unit 8215
Jacksonville, FL 32256-0909

Phone

(860) 819-2128

NPI assigned

Nov 4, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1972104198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8876 A C SKINNER PKWY UNIT 8215",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560909",
            "telephone_number": "860-819-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8876 A C SKINNER PKWY UNIT 8215",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560909",
            "telephone_number": "860-819-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAGOTTA",
        "first_name": "KRISTEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristen.dragotta@brooksrehab.org",
            "affiliation": "N",
            "endpointDescription": "Encryted email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "8876 A C Skinner Pkwy Unit 8215",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322560909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dr.Ted Brink & Associates
• Daniel C Drach, DO
• Mary Collet Drach, PHARMD.
• Shavada Denise Dragg, B.A.
• Marc Dragon, MD
• Tomislav Dragovich, MD, PHD
• Blazen Draguljic, M.D.
• Christopher Drake, APRN
• Erin Drake, PA-C
• Thomas C Drake I, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.