Active NPI
Allison Ernt Kroeger, DPT
- Physical Therapist
- Chicago, IL
National Provider Identifier
1164775631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070019270
- Practice address
- 6501 S Promontory Dr
Chicago, IL 60649 - Phone
- (773) 256-5972
- NPI assigned
- Oct 22, 2012
- 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 | 070019270 | IL | Primary |
Addresses
Primary practice location
6501 S Promontory Dr
Chicago, IL 60649
Mailing address
1925 S Allport St Unit 2
Chicago, IL 60608-3207
Phone (708) 717-5424
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 |
|---|---|---|---|
| 070019270 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532908800000",
"number": "1164775631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1925 S ALLPORT ST UNIT 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606083207",
"telephone_number": "708-717-5424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501 S PROMONTORY DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60649",
"telephone_number": "773-256-5972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROEGER",
"first_name": "ALLISON",
"middle_name": "ERNT",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-22",
"last_updated": "2018-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070019270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.