Kristina Reesman, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501017593 Issued in MI

Practice address

1409 Kenilworth PL
Clawson, MI 48017

Phone

(586) 838-6326

Fax

(855) 930-1407

NPI assigned

Feb 18, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1174982102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480170017",
            "telephone_number": "586-838-6326",
            "fax_number": "855-930-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 KENILWORTH PL",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "48017",
            "telephone_number": "586-838-6326",
            "fax_number": "855-930-1407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1409 Kenilworth Pl",
            "address_purpose": "LOCATION",
            "city": "Clawson",
            "state": "MI",
            "postal_code": "48017",
            "country_code": "US",
            "telephone_number": "586-838-6326",
            "fax_number": "855-930-1407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REESMAN",
        "first_name": "KRISTINA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-18",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven J Rabaut, DPT
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• Dipti Rana, RPT
• Bryant Ray
• Jordan Nicole Reynolds, LMSW
• Martina Saskia Richardson, D.D.S.
• Robert a Delp MD PC
• Robin M Moherek MD PC
• Randi D Robinson, LLPC

• Physical Therapist in Clawson, MI
• Providers in Clawson, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.