Individual provider Active NPI

Kristin M Hinterstocker, MPT

  • Physical Therapist
  • Mequon, WI
National Provider Identifier
1154534980
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6295 Issued in WI
Practice address
10412 N Baehr Rd
Mequon, WI 53092-4472
Phone
(262) 236-0176
Fax
(262) 236-0178
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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 6295 WI Primary

Addresses

Primary practice location

10412 N Baehr Rd
Mequon, WI 53092-4472

Mailing address

10412 N Baehr Rd
Mequon, WI 53092-4472
Phone (262) 236-0176

Other identifiers 1

IdentifierTypeStateIssuer
40319200MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040310000795 WI Practitioner - Physical Therapist in Private Practice 6608764527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fresh Start Physical Therapy LLCGroup PAC ID 9032530050, 6 clinicians

Practice addresses (Care Compare)

10412 N Baehr Rd
Mequon, WI 53092-4472
Phone (262) 236-0176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
6295WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Fresh Start Physical Therapy LLC Physical Therapist CurrentSince Feb 1, 2020 Accepting new patients
The Radiology Clinic LLC Past Accepting new patients
PT Plus Management Corp Physical Therapist Past Accepting new patients
University Orthopaedic Clinic, PC Physical Therapist PastSince Jul 5, 1994 Accepting new patients

Locations

7602 W Mequon Rd
Mequon, WI 53097
Phone (262) 236-0176

10412 N Baehr Rd
Mequon, WI 53092
Phone (262) 236-0176

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1154534980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10412 N BAEHR RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530924472",
            "telephone_number": "262-236-0176",
            "fax_number": "262-236-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10412 N BAEHR RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530924472",
            "telephone_number": "262-236-0176",
            "fax_number": "262-236-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINTERSTOCKER",
        "first_name": "KRISTIN",
        "middle_name": "M",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "6295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40319200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.

Verify at the official NPI Registry.