MEDICARE: DR. KRISTA ASHLYN ADAMS DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	44358	FL

General Provider Information

NPI Number	:	1467304998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTA ASHLYN ADAMS DPT

Provider Business Mailing Address
First Line	:	655 W MARINA COVE DR APT 138
Second Line	:
City	:	ST AUGUSTINE
State	:	FL
Zip	:	32080-6224
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2576 S VOLUSIA AVE
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32763-9120
Country	:	US
Telephone Number	:	386-774-4840
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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