Justina Marie Kostner, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-03679 Issued in KS

Practice address

323 N Main St
Box 7
Kingman, KS 67068-1335

Phone

(620) 532-4480

NPI assigned

Jan 15, 2007

Last updated

Feb 1, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Justina Marie Thieme Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• First Street Rehab Inc

  • Physical Therapy Assistant
  • St John, KS
  • NPI 1609857366
  NPD (past)

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1215088448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 N MAIN ST",
            "address_2": "PO BOX 7",
            "city": "KINGMAN",
            "state": "KS",
            "postal_code": "670681335",
            "telephone_number": "620-532-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 N MAIN ST",
            "address_2": "BOX 7",
            "city": "KINGMAN",
            "state": "KS",
            "postal_code": "670681335",
            "telephone_number": "620-532-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTNER",
        "first_name": "JUSTINA",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-03679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUSTINA",
            "last_name": "THIEME",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kingman Drug Inc
• Kingman Drug Inc
• Kingman Health Clinic, P.a.
• Kingman Health Clinic, P.a.
• Kingman-Norwich Usd 331
• Dean H. Langley, D.D.S.
• Emily Ione Leis, RDN, LD
• Jeremy Lickteig
• Line Medical Inc
• Marjories Home of Kingman, LLC

• Physical Therapist in Kingman, KS
• Providers in Kingman, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.