Individual provider Active NPI

Kristen Cumuze Feutral, MPT

  • Physical Therapist
  • Alpharetta, GA
National Provider Identifier
1972560928
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT008468 Issued in GA
Practice address
3330 Preston Ridge Rd Ste 240
Alpharetta, GA 30005-4540
Phone
(770) 740-1860
Fax
(678) 347-2104
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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 PT008468 GA Primary

Addresses

Primary practice location

3330 Preston Ridge Rd Ste 240
Alpharetta, GA 30005-4540

Mailing address

925 N Point Pkwy Ste 130
Alpharetta, GA 30005-5211
Phone (770) 740-1860

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hcenti, LLC Past Accepting new patients
Activcore Health Network LLC Physical Therapist PastSince Apr 1, 2022 Accepting new patients

Organizations & group practices 2

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1972560928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N POINT PKWY STE 130",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055211",
            "telephone_number": "770-740-1860",
            "fax_number": "678-347-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 PRESTON RIDGE RD STE 240",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054540",
            "telephone_number": "770-740-1860",
            "fax_number": "678-347-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEUTRAL",
        "first_name": "KRISTEN",
        "middle_name": "CUMUZE",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.