National Provider Identifier
Kristina Beavers, PT, DPT
Kristina Beavers, PT, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Ithaca, NY and a listed phone number of (607) 252-3500.
Profile Overview
- NPI
- 1346718723
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- November 05, 2018
- Last Updated
- September 11, 2025
Practice Location
- 101 Dates Dr
- Ithaca, NY 14850-1342
Phone: (607) 252-3500
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1346718723
- Entity Type
- Individual
- Last Name
- Beavers
- First Name
- Kristina
- Credential
- PT, DPT
- Mailing Street Address
- 101 Dates Dr
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1342
- Mailing Country
- US
- Practice Street Address
- 101 Dates Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1342
- Practice Country
- US
- Practice Phone
- (607) 252-3500
- Enumeration Date
- November 05, 2018
- Last Updated
- September 11, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 10, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)