Active NPI
Kristina Hellenbrand, MPT
- Physical Therapist
- Portage, WI
National Provider Identifier
1134314552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10010024
- Practice address
- 2639 New Pinery Road
Suite 2
Portage, WI 53901 - Phone
- (608) 742-9356
- Fax
- (608) 742-9358
- NPI assigned
- Sep 10, 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 | 10010024 | WI | Primary |
Addresses
Primary practice location
2639 New Pinery Road
Suite 2
Portage, WI 53901
Mailing address
2639 New Pinery Road
Suite 2
Portage, WI 53901
Phone (608) 742-9356
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40423100 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2639 New Pinery Rd
Suite 2
Portage, WI 53901-1110
Phone (608) 742-9356
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10010024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Life Physical Therapy & Sports Medicine, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
840 State Road 136
Ste 3
Baraboo, WI 53913
Phone (608) 356-2334
2639 New Pinery Rd
Ste 2
Portage, WI 53901
Phone (608) 742-9356
215 N Pioneer Park Rd
Westfield, WI 53964
Organizations & group practices 1
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.
-
- Physical Therapist
- Portage, WI
- NPI 1467499939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213228800000",
"number": "1134314552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2639 NEW PINERY ROAD",
"address_2": "SUITE 2",
"city": "PORTAGE",
"state": "WI",
"postal_code": "53901",
"telephone_number": "608-742-9356",
"fax_number": "608-742-9358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2639 NEW PINERY ROAD",
"address_2": "SUITE 2",
"city": "PORTAGE",
"state": "WI",
"postal_code": "53901",
"telephone_number": "608-742-9356",
"fax_number": "608-742-9358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLENBRAND",
"first_name": "KRISTINA",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-10",
"last_updated": "2008-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "10010024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40423100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portage, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.