Kristyn Margaret Rosenkoetter, DPT
Individual provider Active NPI Physical Therapist · Altamont, IL
NPI 1003189333 · NPPES record last updated May 20, 2024
Key facts
- NPI
- 1003189333
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070018964 (IL)
- Practice address
- 15 N Main St
Altamont, IL 62411-1446 - Phone
- (618) 881-0920
- Fax
- (618) 881-0919
- NPI assigned
- Feb 16, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sarah Bush Lincoln Health Center
Practice addresses (Care Compare)
15 N Main St
Altamont, IL 62411-1446
Phone (618) 881-0920
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.96 of 100
- Quality
- 69.5
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220405000590 | IL | Practitioner - Physical Therapist in Private Practice | 6305232141 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070018964 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarah Bush Lincoln Health Center | Current |
Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current |
Accepting new patients |
Locations
15 N Main St
Altamont, IL 62411
Phone (618) 881-0920
1303 W Evergreen Ave
Ste 103
Effingham, IL 62401
Phone (217) 342-3444
1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389
101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730
1005 Health Center Dr
Ste 201
Mattoon, IL 61938
Phone (217) 238-6055
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070018964 | IL | Yes |
Addresses
Primary practice location
15 N Main St
Altamont, IL 62411-1446
Mailing address
PO Box 372
Mattoon, IL 61938-0372
Other practice location 1
1303 W Evergreen Ave Ste 103
Effingham, IL 62401-1638
Phone (217) 342-3444
Other providers in Altamont, IL
- Rebecca L Merten
- Mid-Illinois Medical Care Associates, LLC
- April R Moeller
- Lori L. Niemerg
- John P. Opilka
- Amy D Ruckman
- Tammy L. Sasse
- Karie A Schultz
- Allison Rose Schumacher
- Sehy & Huey General and Family Dentistry, P.L.L.C.
All providers in Altamont, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.