MRS. KRISTY ANN LAKE (MPT) – Physical Therapist, NPI 1477579324

MRS. KRISTY ANN LAKE (MPT) is a healthcare provider. based in Kenneth city, Florida. specializing in Physical Therapist. They hold the professional credentials MPT. They hold a License No. PT21094 (FL). The NPI Number for MRS. KRISTY ANN LAKE (MPT) is 1477579324

Main info

Female
Name
MRS. KRISTY ANN LAKE (MPT)
NPI
1477579324
Phone
(727) 546-4700
Address
4356 66TH ST N
Enumeration Date
14 July 2006
Last Update Date
16 October 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MRS. KRISTY ANN LAKE (MPT)

  • 66th Street North, Kenneth City, Pinellas County, Florida, 33764, United States

    KENNETH CITY, FL 337094920

    Phone: (727) 546-4700

    Fax: (727) 549-8108

    Type: Location

  • The Beacon, 470, 3rd Street South, Downtown, Saint Petersburg, Pinellas County, Florida, 33701, United States

    #613

    ST PETERSBURG, FL 337014649

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33709)

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Reviews

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Frequently asked questions

What unique ID ties claims to MRS. KRISTY ANN LAKE (MPT)?
NPI 1477579324 is assigned to MRS. KRISTY ANN LAKE (MPT) under the national enumeration system.
Is MRS. KRISTY ANN LAKE (MPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MRS. KRISTY ANN LAKE (MPT) work in?
You can think of MRS. KRISTY ANN LAKE (MPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. KRISTY ANN LAKE (MPT)?
The page summarizes Kenneth City, Florida for MRS. KRISTY ANN LAKE (MPT); expand the address list for detail.
Is MRS. KRISTY ANN LAKE (MPT) a real provider?
This page reflects official NPPES data for NPI 1477579324. Always confirm identity and privileges with the practice and licensing boards.

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