Active NPI
Kristi L Horneck, PT, DPT
- Physical Therapist
- Manitowoc, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40389600
- Practice address
- 1212 Memorial Dr # 1
Manitowoc, WI 54220-2247 - Phone
- (920) 652-9554
- Fax
- (920) 652-9556
- NPI assigned
- May 9, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 4719-24 | WI | |
| Physical Therapist | 225100000X | 40389600 | WI | Primary |
Addresses
Primary practice location
1212 Memorial Dr # 1
Manitowoc, WI 54220-2247
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206
Other practice location 1
3100 Superior Ave
Sheboygan, WI 53081-1948
Phone (920) 459-8300
Other practice location 2
825 Walton Dr
Plymouth, WI 53073-5022
Phone (920) 496-4700
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | khorneck341670@ewd.direct.hshs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.05 of 100
- Quality
- 88.38
- Improvement activities
- 40
- Cost
- 64.82
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4719 | WI | MD | General Practice Dentistry |
| 4719-24 | WI | MD | Physical Medicine & Rehabilitation Physician |
| 40389600 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic & Therapeutic Institute of Milwaukee, LLC | Physical Therapist | Current | Accepting new patients |
| Athletic & Therapeutic Institute of Milwaukee, LLC | Physical Therapist | Current | Accepting new patients |
| Athletic & Therapeutic Institute of Milwaukee, LLC | Physical Therapist | Past | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
1212 Memorial Dr
#120
Manitowoc, WI 54220
Phone (920) 652-9554
1212 Memorial Dr
#1
Manitowoc, WI 54220
Phone (920) 652-9554
S74W16867 Janesville Rd
Muskego, WI 53150
Phone (262) 971-4200
Interoperability endpoints
- kristi.horneck.1@14940.direct.athenahealth.com
- khorneck341670@ewd.direct.hshs.org
Organizations & group practices 3
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.
-
- Durable Medical Equipment & Medical Supplies
- Sheboygan, WI
- NPI 1558956722
Physical Therapist
-
dba ATI Physical Therapy
- Physical Therapist
- Pewaukee, WI
- NPI 1801907464
-
dba AT Physical Therapy
- Physical Therapist
- Greenfield, WI
- NPI 1174611313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698710400000",
"number": "1063626158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "866-370-8206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 MEMORIAL DR # 1",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542202247",
"telephone_number": "920-652-9554",
"fax_number": "920-652-9556"
}
],
"practiceLocations": [
{
"address_1": "3100 Superior Ave",
"address_purpose": "LOCATION",
"city": "Sheboygan",
"state": "WI",
"postal_code": "530811948",
"country_code": "US",
"telephone_number": "920-459-8300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "825 Walton Dr",
"address_purpose": "LOCATION",
"city": "Plymouth",
"state": "WI",
"postal_code": "530735022",
"country_code": "US",
"telephone_number": "920-496-4700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HORNECK",
"first_name": "KRISTI",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2023-10-31",
"certification_date": "2023-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "WI",
"license": "4719-24",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "40389600",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "khorneck341670@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "825 Walton Dr",
"city": "Plymouth",
"state": "WI",
"country_code": "US",
"postal_code": "530735022",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Manitowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.