Active NPIIndividual provider

Kristen Soo, PT

Physical Therapist in Revere, Massachusetts

NPI Number1760982144
Practice location
300 Ocean Ave, Revere, MA 02151-3675
Fax
—
Last updated
October 30, 2019

Kristen Soo is a Physical Therapist based in Revere, MA. Kristen Soo practices in Revere, MA and has the professional credentials of PT. The NPI Number for Kristen Soo is 1760982144 and holds a License No. 23485 (MA). The current practice location address for Kristen Soo is 300 Ocean Ave, Revere, MA 02151-3675 and can be reached out via phone at 781-485-6222.

Provider Profile Details

NPI Number
1760982144
Provider Name
Kristen Soo
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
300 Ocean Ave, Revere, MA 02151-3675
Phone Number
781-485-6222
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
February 13, 2018
Last Update Date
October 30, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Ocean Ave
Revere, MA 02151-3675
City
Revere
Zip
02151-3675
Phone Number
781-485-6222
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
300 Ocean Ave
Revere, MA 02151-3675
City
Revere
State
MA
Zip
02151-3675

License Information

License Number
23485
License State
MA
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kristen Soo, PT?

The NPI number of Kristen Soo, PT is 1760982144. It was assigned on February 13, 2018 and is currently active in the NPPES registry.

What is the specialty of Kristen Soo, PT?

Kristen Soo, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 23485.

Where does Kristen Soo, PT practice?

The practice location is 300 Ocean Ave, Revere, MA 02151-3675. The office can be reached at 781-485-6222 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760982144 directly on the NPPES registry website.

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