Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristin Mika Vavaroutsos

Individual provider Physical Therapist · NPI 1730064395

Kristin Mika Vavaroutsos is a Physical Therapist in Private Practice in Redwood City, California. Qualified in 2025, 1 year ago. Practices with Star Physical Therapy, a 7-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
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Practice location Address checks out

1779 Woodside Rd Ste 102
Redwood City, CA 94061-3461
Phone: (408) 799-1458
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1730064395
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 11, 2025
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Star Physical Therapy — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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