Individual provider Active NPI

Kristy Stahr, PT

  • Physical Therapist
  • Glenview, IL
National Provider Identifier
1124220066
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070015761 Issued in IL
Practice address
1824 Johns Dr
Glenview, IL 60025
Phone
(847) 581-6300
NPI assigned
Jun 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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 070015761 IL Primary

Addresses

Primary practice location

1824 Johns Dr
Glenview, IL 60025

Mailing address

1824 Johns Dr
Glenview, IL 60025-1657
Phone (847) 581-6300

Other practice location 1

4555 211th St
Matteson, IL 60443-2318
Phone (708) 283-0021

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

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Life Chiropractic, SC CurrentSince Aug 8, 2018 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC Physical Therapist PastSince Aug 28, 2007 Accepting new patients
Athletic and Therapeutic Institute of Joliet LLC Physical Therapist Past Accepting new patients
Athletic &Therapeutic Institute of Naperville, LLC Physical Therapist Past Accepting new patients

Locations

1824 Johns Dr
Glenview, IL 60025
Phone (224) 432-5276

1352 Patriot Blvd
Glenview, IL 60026
Phone (847) 581-6300

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.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1124220066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 JOHNS DR",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600251657",
            "telephone_number": "847-581-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 JOHNS DR",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "60025",
            "telephone_number": "847-581-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4555 211th St",
            "address_purpose": "LOCATION",
            "city": "Matteson",
            "state": "IL",
            "postal_code": "604432318",
            "country_code": "US",
            "telephone_number": "708-283-0021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAHR",
        "first_name": "KRISTY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070015761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.