Active NPI
Kristen R Thompson, LPT
- Physical Therapist
- Fairview Heights, IL
National Provider Identifier
1063452308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 10607 Lincoln TRL
Fairview Heights, IL 62208-1913 - Phone
- (618) 310-1600
- NPI assigned
- Jun 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | IL | Primary |
Addresses
Primary practice location
10607 Lincoln TRL
Fairview Heights, IL 62208-1913
Mailing address
9684 Mallard Dr
Mascoutah, IL 62258-2754
Phone (618) 566-8160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070014249 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitalize Chiropractic: a Creating Wellness Center LLC | Past | Accepting new patients | |
| Wellnessone of Swansea, LLC | Physical Therapist | Past | Accepting new patients |
| Wellnessone of Belleville, LLC | Physical Therapist | Past | Accepting new patients |
| Wellnessone of Fairview Heights, LLC | Physical Therapist | Past | Accepting new patients |
| Wellnessone of East Belleville, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Swansea, IL
- NPI 1639357726
-
- Physical Therapist
- Belleville, IL
- NPI 1689692287
-
- Physical Therapist
- Fairview Heights, IL
- NPI 1275751745
-
- Physical Therapist
- Swansea, IL
- NPI 1184842650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1063452308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9684 MALLARD DR",
"city": "MASCOUTAH",
"state": "IL",
"postal_code": "622582754",
"telephone_number": "618-566-8160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10607 LINCOLN TRL",
"city": "FAIRVIEW HEIGHTS",
"state": "IL",
"postal_code": "622081913",
"telephone_number": "618-310-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "KRISTEN",
"middle_name": "R",
"credential": "LPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairview Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.