Individual provider Active NPI

Kristen Bane, PT

  • Physical Therapist
  • Hardy, VA
National Provider Identifier
1083345995
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305215041 Issued in VA
Practice address
12970 Booker T Washington Hwy
Hardy, VA 24101-3953
Phone
(540) 719-7350
Fax
(540) 719-0019
NPI assigned
Jun 21, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.7 of 100Reported as group
Quality
90
Improvement activities
40
Cost
73.99

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

LicenseStateTypeSpecialty
2305215041VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Jun 6, 2022 Accepting new patients
MCM Rehabilitation LLC CurrentSince Jun 6, 2023 Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Jun 6, 2022 Accepting new patients
MCM Rehabilitation, LLC. Physical Therapist CurrentSince Jun 6, 2023 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Payshere Cir
Chicago, IL 60674

33299 Collection Ctr Dr
Chicago, IL 60693

5401 Netherby Ln
Ste 300
North Charleston, SC 29420
Phone (843) 225-5211

9241 University Blvd
Ste B1
North Charleston, SC 29406
Phone (843) 414-1140

2125 Northpoint Blvd
Hixson, TN 37343
Phone (423) 875-3367

9408 Apison Pike
Ste 150
Ooltewah, TN 37363
Phone (423) 396-3004

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305215041 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

12970 Booker T Washington Hwy
Hardy, VA 24101-3953

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5516

Other practice location 1

9408 Apison Pike Ste 150
Ooltewah, TN 37363-5978
Phone (423) 396-3004

Other practice location 2

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other names 1

NPPES NPI Registry
  • Kristen Vogelbein Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 13, 2026.

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1083345995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713",
            "telephone_number": "540-224-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12970 BOOKER T WASHINGTON HWY",
            "city": "HARDY",
            "state": "VA",
            "postal_code": "241013953",
            "telephone_number": "540-719-7350",
            "fax_number": "540-719-0019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9408 Apison Pike Ste 150",
            "address_purpose": "LOCATION",
            "city": "Ooltewah",
            "state": "TN",
            "postal_code": "373635978",
            "country_code": "US",
            "telephone_number": "423-396-3004",
            "fax_number": "423-396-3005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "790 Remington Blvd",
            "address_purpose": "LOCATION",
            "city": "Bolingbrook",
            "state": "IL",
            "postal_code": "604404909",
            "country_code": "US",
            "telephone_number": "866-370-8206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANE",
        "first_name": "KRISTEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "VOGELBEIN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hardy, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.

Verify at the official NPI Registry.