Individual provider Active NPI

Kristine A Padgett, DPT

  • Physical Therapist
  • Chandler, AZ
National Provider Identifier
1992253447
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12468 Issued in AZ
Practice address
4015 S Arizona Ave
Chandler, AZ 85248-4586
Phone
(480) 426-8019
NPI assigned
Sep 13, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 7

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170124001983 AZ Practitioner - Physical Therapist in Private Practice 0648552869 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12468AZMDPhysical Therapist
040322-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC Current Accepting new patients
360 Physical Therapy LLC Physical Therapist CurrentSince Nov 18, 2016 Accepting new patients
BHSM Rehabilitation LLC CurrentSince Apr 15, 2024 Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Apr 15, 2024 Accepting new patients
360 Physical Therapy, LLC Current Accepting new patients
360 Physical Therapy LLC Physical Therapist CurrentSince Nov 18, 2016 Accepting new patients

Locations

4015 S Arizona Ave
Ste C2
Chandler, AZ 85248
Phone (480) 426-8019

1076 W Chandler Blvd
Ste 103
Chandler, AZ 85224
Phone 4808211997116

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

3507 S Mercy Rd
Ste A8
Gilbert, AZ 85297

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

21083 N John Wayne Pkwy
Ste C104
Maricopa, AZ 85139
Phone (520) 233-7555

10165 E Hampton Ave
Ste 111
Mesa, AZ 85209
Phone (480) 354-5424

7400 N Dobson Rd
Ste 103
Scottsdale, AZ 85256
Phone (602) 613-9133

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 040322-1 NY
Physical Therapist 225100000X
Physical Therapist 225100000X 12468 AZ Primary

Addresses

NPPES NPI Registry

Primary practice location

4015 S Arizona Ave
Chandler, AZ 85248-4586

Mailing address

2222 W Portobello Ave
Mesa, AZ 85202-7936
Phone (585) 217-3903

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 16, 2025.

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1992253447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W PORTOBELLO AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027936",
            "telephone_number": "585-217-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 S ARIZONA AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852484586",
            "telephone_number": "480-426-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADGETT",
        "first_name": "KRISTINE",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040322-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "12468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.

Verify at the official NPI Registry.