Kristin A. Jennings, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4020-024 Issued in WI

Practice address

N1287 Laudon LN
Hortonville, WI 54944-9382

Phone

(920) 841-3018

NPI assigned

Aug 19, 2006

Last updated

Aug 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kristin A. Larson Former name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Choice Physical Therapy and Wellness LLC

  • Physical Therapist
  • Hortonville, WI
  • NPI 1003648064
  Medicare reassignment NPD Authorized official
• Orthopedic & Spine Therapy of Oshkosh SC

  • Physical Therapist
  • Oshkosh, WI
  • NPI 1952418816
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723939200000",
    "number": "1023123452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 E EDGEWOOD DR STE 10583",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549139407",
            "telephone_number": "920-841-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N1287 LAUDON LN",
            "city": "HORTONVILLE",
            "state": "WI",
            "postal_code": "549449382",
            "telephone_number": "920-841-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "KRISTIN",
        "middle_name": "A.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2024-08-18",
        "certification_date": "2024-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "4020-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40471900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "LARSON",
            "middle_name": "A.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erika Gergits
• Rhonda Denise Gerhartz, RN
• Jared John Harding, D.D.S.
• Rhonda Hoffman
• Hortonville Area School District
• Emilee Jensen, COTA
• Veronica Judnic
• Adam J Kienert
• Madalyn M Kornowski, DC
• Jo Ellen Krueger, OTR

• Physical Therapist in Hortonville, WI
• Providers in Hortonville, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.