KSR Performance Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

KSR PERFORMANCE PHYSICAL THERAPY LLC

Practice address

5070 W Rawson Ave
Franklin, WI 53132-9448

Phone

(414) 377-9765

NPI assigned

Jul 22, 2020

Organization subpart

No

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

Authorized official

Name

Kristen Russo, PT

Title

Owner

Phone

(209) 487-4979

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristin B Russo, PT, MPT

  • Physical Therapist
  • Franklin, WI
  • NPI 1730118423
  Medicare reassignment NPD

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1083222376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5070 W RAWSON AVE",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5070 W RAWSON AVE",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329448",
            "telephone_number": "414-377-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSR PERFORMANCE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-487-4979",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sumaya Anne Kroger, MS, LPC, SAC
• Krsko Chiropractic S.C.
• Christine M Krsko, D.C.
• Scott Krueger, PT
• Madison Kruk, PA-C
• Elizabeth Kulig
• Parmod Kumar, MD
• Rachel J Kuntz, ATC
• Cregg David Kuri, LPC
• Shannon Rae Kurtz, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.