KRISTOPHER WILSON (NPI# 1891210787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891210787 |
| Entity Type | Individual |
| Full Name | KRISTOPHER WILSON |
| Practice Address |
5535 S Williamson Blvd Ste 774 Port Orange FL 32128-8321 |
| Mailing Address |
7 Gilman St Holyoke MA 01040-2936 |
| Practice Telephone | 8882652680 |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2017-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 23220 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578739975 | Kristopher Edward Wilson | Occupational Therapist | 1675 Eagle Harbor Pkwy, Suite B, Orange Park, FL 32003-4802 | 2008-05-06 |
| 1578104824 | Kristopher Dillon Wilson | Physician Assistant | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2019-10-07 |
| 1649431537 | Kristopher Charles Wilson | Military Health Care Provider | 301 Andrews Avenue, Fort Rucker, AL 36362-5333 | 2008-06-23 |
| Street Address |
5535 S WILLIAMSON BLVD STE 774 |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32128-8321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942564984 | Katie Ginader | Occupational Therapist | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2012-06-25 |
| 1508464199 | Brandon Mansell | Physical Therapist | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2020-10-15 |
| 1104423045 | Dunya Sleiman | Occupational Therapist | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2020-10-05 |
| 1144836354 | Melissa Koch | Occupational Therapist | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2020-09-22 |
| 1619580917 | Sandra Tai | Physical Therapist | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2020-08-26 |
| 1487267142 | Mariah Smart | Speech-Language Pathologist | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2020-08-24 |
| 1205447802 | Maira Dawood | Speech-Language Pathologist | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2020-08-17 |
| 1083224356 | Joseph Couche | Physical Therapist | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2020-08-03 |
| 1245857853 | Denise Strickland | Speech-Language Pathologist | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2020-06-30 |
| 1659997740 | Paige Verrastro | Occupational Therapy Assistant | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2020-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487209979 | Encore Hearing Consultants, LLC | Hearing Instrument Specialist | 5889 S. Williamson Blvd, Suite 1409, Port Orange, FL 32128 | 2019-08-02 |
| 1346768835 | T'neill Treherne | Occupational Therapist | 5535 S. Williamson Blvd Suite 774, Port Orange, FL 32128 | 2017-09-05 |
| 1881055440 | Jose Ortiz | Chiropractor | 6315 S Williamson Blvd Apt 132, Port Orange, FL 32128 | 2016-03-10 |
| 1376915132 | Comfortable Care Dental Health Professionals, Pa | Dentist | 5445 S. Williamson Blvd, Port Orange, FL 32128 | 2015-10-20 |
| 1508289570 | Jeffrey Barnes | Physical Therapist | 5535 S. Williamson B;vd, Port Orange, FL 32128 | 2014-01-28 |
| 1881025542 | Rachael Hall | Physical Therapist | 55335 S Williamson Blvd, Suite 774, Port Orange, FL 32128 | 2013-12-06 |
| 1154765840 | Daniel Fleishman | Counselor | 6709 Ferri Circle, Port Orange, FL 32128 | 2013-04-24 |
| 1215282629 | Jeffrey Mclaughlin | Physical Therapist | 5535 S. Williamson Blvd., Ste 774, Port Orange, FL 32128 | 2012-07-23 |
| 1710266812 | Steven Gerald Daniels | Chiropractor | 1807 Creekwater Blvd, Port Orange, FL 32128 | 2011-08-08 |
| 1639489883 | Dr. Michael Hay and Associates, LLC | Optometrist | 5517 S. Williamson Blvd., #310, Port Orange, FL 32128 | 2010-10-20 |
| Find all providers in zip 32128 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962037754 | Tyler Craun | Physical Therapist | 5535 S Williamson Blvd Ste 705, Port Orange, FL 32128-8311 | 2020-03-11 |
| 1598240509 | Stephanie Lynn Schwartz | Physical Therapist | 4291 Oriole Ave, Port Orange, FL 32127-6647 | 2018-09-26 |
| 1811423205 | Wirat Lertkitcharoenpon | Physical Therapist | 1849 Forough Cir, Port Orange, FL 32128-6023 | 2017-05-04 |
| 1508312075 | Laura Muller | Physical Therapist | 4701 City Center Pkwy, Port Orange, FL 32129-4153 | 2016-08-25 |
| 1225485139 | Lindsey Faith Viorde | Physical Therapist | 733 Dunlawton Ave Ste 103, Port Orange, FL 32127-4226 | 2016-05-20 |
| 1881052645 | Valen Rustica Uy | Physical Therapist | 4606 Clyde Morris Blvd Ste 1d, Port Orange, FL 32129-7453 | 2016-02-08 |
| 1952720518 | Jose Manaloto | Physical Therapist | 5429 Frederick Lake Dr, Port Orange, FL 32128-7479 | 2014-04-10 |
| 1508289570 | Jeffrey Barnes | Physical Therapist | 5535 S. Williamson B;vd, Port Orange, FL 32128 | 2014-01-28 |
| 1881025542 | Rachael Hall | Physical Therapist | 55335 S Williamson Blvd, Suite 774, Port Orange, FL 32128 | 2013-12-06 |
| 1215282629 | Jeffrey Mclaughlin | Physical Therapist | 5535 S. Williamson Blvd., Ste 774, Port Orange, FL 32128 | 2012-07-23 |
| Find all providers in PORT ORANGE | ||||
| City | PORT ORANGE |
| Zip Code | 32128 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.