1730157785 NPI number — MRS. KRISTEN K HITT P.T.

Table of content: MRS. KRISTEN K HITT P.T. (NPI 1730157785)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730157785 NPI number — MRS. KRISTEN K HITT P.T.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HITT
Provider First Name:
KRISTEN
Provider Middle Name:
K
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
P.T.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HOVER
Provider Other First Name:
KRISTEN
Provider Other Middle Name:
K
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
PT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1730157785
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/16/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3353 RAMBLEWOOD PL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SARASOTA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34237-3831
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
941-953-9093
Provider Business Mailing Address Fax Number:
941-343-9402

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13638 2ND AVE NE
Provider Second Line Business Practice Location Address:
ON THE GO THERAPY SERVICES, INC.
Provider Business Practice Location Address City Name:
BRADENTON
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34212-2725
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
941-228-6734
Provider Business Practice Location Address Fax Number:
941-343-9402
Provider Enumeration Date:
03/08/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2251P0200X , with the licence number:  0017440 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 225100000X , with the licence number: PT17440 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 887656800 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: P00875758 . This is a "RR MEDICARE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 811760800 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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