Active NPI
Kristen E Carlstedt, M.S., PT
- Physical Therapist
- Northbrook, IL
National Provider Identifier
1114071081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 755 Skokie Blvd
Northbrook, IL 60062-2805 - Phone
- (847) 272-7426
- Fax
- (847) 412-6440
- NPI assigned
- Jan 22, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | IL | Primary |
Addresses
Primary practice location
755 Skokie Blvd
Northbrook, IL 60062-2805
Mailing address
1347 Johnson Dr
Apt 1412
Buffalo Grove, IL 60089-6971
Phone (414) 467-4198
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.015024 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114071081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1347 JOHNSON DR",
"address_2": "APT 1412",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600896971",
"telephone_number": "414-467-4198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 SKOKIE BLVD",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622805",
"telephone_number": "847-272-7426",
"fax_number": "847-412-6440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSTEDT",
"first_name": "KRISTEN",
"middle_name": "E",
"credential": "M.S., PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.