Kristen Rae Matusz, P.T.
Individual provider Active NPI Physical Therapist · Belmont, MI
NPI 1194889915 · NPPES record last updated Feb 18, 2013
Key facts
- NPI
- 1194889915
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501013314 (MI)
- Practice address
- 6159 George Ann CT.
Belmont, MI 49306 - Phone
- (616) 250-0199
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3341 | NM | MD | Mental Health Counselor |
| 70015778 | IL | MD | Physical Therapist |
| 5501013314 | MI | MD | Physical Therapist |
| P12257 | NC | MD | Physical Therapist |
| 1170918 | TX | MD | Physical Therapist |
| PT00010153 | WA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00010153 | WA | |
| Physical Therapist | 225100000X | 3341 | NM | |
| Physical Therapist | 225100000X | 5501013314 | MI | Yes |
| Physical Therapist | 225100000X | 70015778 | IL | |
| Physical Therapist | 225100000X | 1170918 | TX | |
| Physical Therapist | 225100000X | P12257 | NC |
Addresses
Primary practice location
6159 George Ann CT.
Belmont, MI 49306
Mailing address
6159 George Ann CT.
Belmont, MI 49306
Phone (616) 250-0199
Other names
- Kristen Rae Podein
Other providers in Belmont, MI
- Kristi Jackson
- Jupiter Family Medicine PC
- John Paul Klooster
- Brian Richard Kooiker Sr.
- Patti Jo Laskey
- Paige Nicole McCarthy
- Med-Equip Products L.C.
- Michigan Medical Patient Care
- Susan Emily Morozowich
- Leigh Ann Moulton
All providers in Belmont, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.