Individual provider Active NPI

Kristine Briggs-Connelly, MSPT

  • Orthopedic Physical Therapist
  • Fort Wayne, IN
National Provider Identifier
1174504278
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
05007019A Issued in IN
Practice address
3844 New Vision Dr
Fort Wayne, IN 46845-1708
Phone
(260) 483-9933
Fax
(260) 483-9931
NPI assigned
Nov 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 05007019A IN Primary

Addresses

Primary practice location

3844 New Vision Dr
Fort Wayne, IN 46845-1708

Mailing address

3844 New Vision Dr
Fort Wayne, IN 46845-1708
Phone (260) 483-9933

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041229000523 IN Practitioner - Physical Therapist in Private Practice 8921066515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Physical Therapy LLCGroup PAC ID 4789926817, 3 clinicians
Choice Physical TherapyGroup PAC ID 5496148389, 8 clinicians

Practice addresses (Care Compare)

415 E Cook Rd
Suite 600
Fort Wayne, IN 46825-3657
Phone (260) 226-7329

701 N St
Auburn, IN 46706-1633
Phone (260) 797-2572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Core Physical Therapy LLC CurrentSince Aug 20, 2019 Accepting new patients
Choice Physical Therapy Orthopedic CurrentSince Sep 1, 2025 Accepting new patients
Advocate Home Health and Hospice LLC Past Accepting new patients
Children'S Milestone Inc Orthopedic Past Accepting new patients

Locations

701 North St
Auburn, IN 46706
Phone (260) 333-0031

415 E Cook Rd
Ste 600
Fort Wayne, IN 46825
Phone (260) 226-7329

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19089/brand/1/csg/1/fhir/r4

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": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1174504278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3844 NEW VISION DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451708",
            "telephone_number": "260-483-9933",
            "fax_number": "260-483-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3844 NEW VISION DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451708",
            "telephone_number": "260-483-9933",
            "fax_number": "260-483-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGGS-CONNELLY",
        "first_name": "KRISTINE",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IN",
            "license": "05007019A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.