Individual provider Active NPI

Kristin C Schraubenweller, PT

  • Physical Therapist
  • Ionia, MI
National Provider Identifier
1073687117
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501012502 Issued in MI
Practice address
3751 S State Rd
Ionia, MI 48846
Phone
(616) 522-0066
Fax
(616) 527-1667
NPI assigned
Nov 20, 2006
Last updated
Jan 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501012502 MI Primary

Addresses

Primary practice location

3751 S State Rd
Ionia, MI 48846

Mailing address

PO Box 412031
Boston, MA 02241-2031
Phone (914) 294-4050

Other names 1

  • Ms. Kristin C Weller Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051021000486 MI Practitioner - Physical Therapist in Private Practice 7113943812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Michigan LLCGroup PAC ID 6901165893, 156 clinicians

Practice addresses (Care Compare)

7559 36TH Ave
Hudsonville, MI 49426-7639
Phone (616) 369-0440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Michigan, LLC Physical Therapist CurrentSince Sep 8, 2020 Accepting new patients

Locations

740 W Grand River Ave
Brighton, MI 48116
Phone (810) 227-3588

400 Rounds Dr
Fenton, MI 48430
Phone (810) 629-0530

7559 36th Ave
Hudsonville, MI 49426
Phone (616) 369-0440

3751 S State Rd
Ionia, MI 48846
Phone (616) 522-0066

319 S Bridge St
Linden, MI 48451
Phone (810) 735-0010

135 S Milford Rd
Milford, MI 48381
Phone (248) 685-7272

135 S Milford Rd
Ste 307
Milford, MI 48381

1764 S Ortonville Rd
Ortonville, MI 48462
Phone (248) 793-5730

204 W Upton Ave
Reed City, MI 49677
Phone (231) 465-4289

1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1073687117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412031",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412031",
            "telephone_number": "914-294-4050",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 S STATE RD",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "48846",
            "telephone_number": "616-522-0066",
            "fax_number": "616-527-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRAUBENWELLER",
        "first_name": "KRISTIN",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "WELLER",
            "middle_name": "C",
            "prefix": "MS.",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ionia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.