Christine Radke, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11999-24 Issued in WI

Practice address

10222 74TH St Ste 211
Kenosha, WI 53142-6810

Phone

(262) 925-5020

Fax

(262) 925-5021

NPI assigned

Apr 25, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Advantage Physical Therapy & Sports Rehab, LLC

  • Rehabilitation Clinic/Center
  • Burlington, WI
  • NPI 1881773463
  Medicare reassignment NPD
• Comprehensive Orthopaedics SC

  • Physical Therapy Clinic/Center
  • Kenosha, WI
  • NPI 1194611939

  Physical Therapist

  Medicare reassignment NPD
• Advantage Physical Therapy & Sports Rehab, LLC

  • Rehabilitation Clinic/Center
  • Salem, WI
  • NPI 1104497023
  NPD
• Advantage Physical Therapy & Sports Rehab, LLC

  • Rehabilitation Clinic/Center
  • Hayward, WI
  • NPI 1902556012
  NPD
• Advantage PT & Sports Rehab LLC

  • Rehabilitation Clinic/Center
  • Franklin, WI
  • NPI 1164183018
  NPD (past)
• Advantage PT & Sports Rehab LLC

  • Rehabilitation Clinic/Center
  • Kenosha, WI
  • NPI 1619638350
  NPD (past)

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1124462775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 52ND ST STE 240",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531403423",
            "telephone_number": "262-925-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10222 74TH ST STE 211",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531426810",
            "telephone_number": "262-925-5020",
            "fax_number": "262-925-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADKE",
        "first_name": "CHRISTINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-25",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "11999-24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14133373",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jawaid Quddus, MD, PHD
• Maria Estelita Quejada, MD
• Amanda Quinonez, APNP
• Racine Kenosha Community Action Agency
• Leah Radewan, MS, CF-SLP
• Michael R Radke, LCSW
• Kristyn E Radovanovic, NP
• Krystal Marie Rafenstein, APNP, FNP-BC
• Taaha S Rafi, MD
• Katie Ralph, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.