Kayla Christiaansen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13355 Issued in WI

Practice address

1290 N Summit Ave
Suite 102
Oconomowoc, WI 53066-4459

Phone

(262) 468-3480

Fax

(262) 468-3481

NPI assigned

Jun 7, 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

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Athletic & Therapeutic Institute of Milwaukee, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Pewaukee, WI
  • NPI 1801907464
  Medicare reassignment NPD
• Athletic & Therapeutic Institute of Milwaukee, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Mount Pleasant, WI
  • NPI 1366710584
  NPD
• Athletic & Therapeutic Institute of Milwaukee, LLC

  • Durable Medical Equipment & Medical Supplies
  • Sheboygan, WI
  • NPI 1558956722

  Physical Therapist

  NPD

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1184073546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 N SUMMIT AVE",
            "address_2": "SUITE 102",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664459",
            "telephone_number": "262-468-3480",
            "fax_number": "262-468-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIAANSEN",
        "first_name": "KAYLA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Ceschi, M.D.
• Pamela Chesky Johnson, MAED, NCC
• Kelsey Chin, DDS
• Chiro-Health
• Chiropractic Company - Oconomowoc LTD (Chiropractic Company)
• Christine Wings LLC
• Zachary Chudy, DC
• Caroline Cipriano Hanneman
• City of Oconomowoc
• Dan Thomas Cleary, MD

• Physical Therapist in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.