Active NPI
Kristen Nadia Coughlan
- Physical Therapist
- Menomonee Falls, WI
National Provider Identifier
1124909965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16852-24
- Practice address
- W180N8085 Town Hall Rd
Menomonee Falls, WI 53051-3518 - Phone
- (262) 251-1000
- NPI assigned
- Sep 9, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 16852-24 | WI | Primary |
Addresses
Primary practice location
W180N8085 Town Hall Rd
Menomonee Falls, WI 53051-3518
Mailing address
4303 W Woodale Ave
Milwaukee, WI 53223-4460
Phone (847) 323-8757
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16852-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757376000000",
"number": "1124909965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4303 W WOODALE AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532234460",
"telephone_number": "847-323-8757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W180N8085 TOWN HALL RD",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530513518",
"telephone_number": "262-251-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUGHLAN",
"first_name": "KRISTEN",
"middle_name": "NADIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-09",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "16852-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menomonee Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.