Provider Demographics
NPI:1144408246
Name:HELDMAN, KRISTIN L (PT)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:L
Last Name:HELDMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:L
Other - Last Name:PAULEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:8737 UNION CENTRE BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-4878
Mailing Address - Country:US
Mailing Address - Phone:513-645-2246
Mailing Address - Fax:513-645-2233
Practice Address - Street 1:8737 UNION CENTRE BLVD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-4878
Practice Address - Country:US
Practice Address - Phone:513-645-2246
Practice Address - Fax:513-645-2233
Is Sole Proprietor?:No
Enumeration Date:2008-01-31
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT.012005225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP00728508OtherMEDICARE RAILROAD
OH000000550125OtherANTHEM
OH2839549Medicaid
OHP00728508OtherMEDICARE RAILROAD
OHH249230Medicare PIN