Provider Demographics
NPI:1730157785
Name:HITT, KRISTEN K (PT)
Entity type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:K
Last Name:HITT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:K
Other - Last Name:HOVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:3353 RAMBLEWOOD PL
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34237-3831
Mailing Address - Country:US
Mailing Address - Phone:941-953-9093
Mailing Address - Fax:941-343-9402
Practice Address - Street 1:13638 2ND AVE NE
Practice Address - Street 2:ON THE GO THERAPY SERVICES, INC.
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34212-2725
Practice Address - Country:US
Practice Address - Phone:941-228-6734
Practice Address - Fax:941-343-9402
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL00174402251P0200X
FLPT17440225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL887656800Medicaid
FLP00875758OtherRR MEDICARE
FL887656800Medicaid