{"npi":"1033689229","type":"NPI-1","status":"active","name":{"display":"Kristina Lee Dpt, Pt","other":[{"code":"1","type":"Formerly known as","value":"UTLEY, KRISTINA MARIE"}],"first":"KRISTINA","last":"LEE","middle":"MARIE","credential":"DPT, PT"},"specialty":{"primary_taxonomy":"225100000X","primary_taxonomy_description":"Physical Therapist","slug":"physical-therapist","schema_org_specialty":null,"all":[{"code":"225100000X","description":"Physical Therapist","primary":true,"state":"AZ","license":"LPT-32498"}]},"addresses":[{"purpose":"LOCATION","street_1":"4215 E BELL RD BLDG A","city":"PHOENIX","state":"AZ","postal_code":"850322212","country_code":"US","phone":"6029337529","fax":"6029334296"},{"purpose":"MAILING","street_1":"2108 E THOMAS RD STE 130","city":"PHOENIX","state":"AZ","postal_code":"850167761","country_code":"US","phone":"6029333124","fax":"6029331820"}],"license":{"state":"AZ","number":"LPT-32498"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"164413","state":"AZ","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20220826001334","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"AZ","pac_id":"2668714072"}]},"enumeration_date":"2018-11-29","last_updated":"2024-04-25","_meta":{"source":"NPPES","snapshot_date":"2024-04-25","doc_url":"https://findmynpi.com/api"}}