Provider Demographics
NPI:1851485841
Name:ANGELOPOULOU, KRISTIN MICHELLE (PT, DPT, OCS, MCMT)
Entity Type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:MICHELLE
Last Name:ANGELOPOULOU
Suffix:
Gender:F
Credentials:PT, DPT, OCS, MCMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2572 W STATE ROAD 426
Mailing Address - Street 2:STE 1080
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-8389
Mailing Address - Country:US
Mailing Address - Phone:321-319-0295
Mailing Address - Fax:407-796-5260
Practice Address - Street 1:2572 W STATE ROAD 426
Practice Address - Street 2:STE 1080
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-8389
Practice Address - Country:US
Practice Address - Phone:321-319-0295
Practice Address - Fax:407-796-5260
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 205152251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
P80968Medicare UPIN
FLU01492Medicare PIN