Active NPI
Kristina Arlene Wolff, DPT
- Physical Therapist
- St Louis Park, MN
National Provider Identifier
1083902159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8834
- Practice address
- 6500 Excelsior Blvd
St Louis Park, MN 55426-4702 - Phone
- (952) 993-5900
- Fax
- (952) 993-5585
- NPI assigned
- Jul 11, 2011
- 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.
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- Specialist
- Scottsdale, AZ
- NPI 1932430949
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Sun Lakes, AZ
- NPI 1285295089
-
- Physical Therapist
- Queen Creek, AZ
- NPI 1689115164
NPD Physical Therapist -
- Specialist
- Fountain Hills, AZ
- NPI 1811153992
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- 360 Physical Therapy LLC
Practice addresses (Care Compare)
4210 E Baseline Rd
Suite 106
Mesa, AZ 85206-4418
Phone (480) 503-2373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220926001866 | AZ | Practitioner - Physical Therapist in Private Practice | 7416127352 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 360 Physical Therapy, LLC | Current | Accepting new patients | |
| 360 Physical Therapy, LLC | Current | Accepting new patients | |
| 360 Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
1076 W Chandler Blvd
Ste 103
Chandler, AZ 85224
Phone 4808211997116
1472 E Williams Field Rd
Ste 100
Gilbert, AZ 85295
4210 E Baseline Rd
Ste 106
Mesa, AZ 85206
Phone (480) 503-2373
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8834 | MN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Mailing address
6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone (952) 993-5900
Other names 1
NPPES NPI Registry- Kristina Arlene Van Skike
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 24, 2011.
{
"created_epoch": "1310342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311465600000",
"number": "1083902159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 EXCELSIOR BLVD",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554264702",
"telephone_number": "952-993-5900",
"fax_number": "952-993-5585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 EXCELSIOR BLVD",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554264702",
"telephone_number": "952-993-5900",
"fax_number": "952-993-5585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFF",
"first_name": "KRISTINA",
"middle_name": "ARLENE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-11",
"last_updated": "2011-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "8834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTINA",
"last_name": "VAN SKIKE",
"middle_name": "ARLENE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2011; 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.