Active NPI
Kristin Durfee, PT
- Physical Therapist
- Montgomery Village, MD
National Provider Identifier
1992993356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14307
- Practice address
- 19201 Montgomery Village Ave
Suite a-11
Montgomery Village, MD 20886-5027 - Phone
- (301) 948-2414
- Fax
- (301) 948-0597
- NPI assigned
- Oct 11, 2007
- 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 | 14307 | MD | Primary |
Addresses
Primary practice location
19201 Montgomery Village Ave
Suite a-11
Montgomery Village, MD 20886-5027
Mailing address
19201 Montgomery Village Ave
Suite a-11
Montgomery Village, MD 20886-5027
Phone (301) 948-2414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G00031 | Other | MD | MEDICARE GROUP |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14307 | MD | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1992993356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19201 MONTGOMERY VILLAGE AVE",
"address_2": "SUITE A-11",
"city": "MONTGOMERY VILLAGE",
"state": "MD",
"postal_code": "208865027",
"telephone_number": "301-948-2414",
"fax_number": "301-948-0597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19201 MONTGOMERY VILLAGE AVE",
"address_2": "SUITE A-11",
"city": "MONTGOMERY VILLAGE",
"state": "MD",
"postal_code": "208865027",
"telephone_number": "301-948-2414",
"fax_number": "301-948-0597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURFEE",
"first_name": "KRISTIN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-11",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "14307",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "G00031",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montgomery Village, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.