Kristina K Nowka, AT, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502004407 Issued in MI

Practice address

208 Bridge St
East Jordan, MI 49727-9318

Phone

(989) 996-1098

NPI assigned

Mar 13, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20203/brand/1/csg/1/fhir/r4

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.

• Active Recovery Physical Therapy & Sports Rehab

  • Physical Therapist
  • East Jordan, MI
  • NPI 1891304812

  Physical Therapy Assistant

  NPD Authorized official
• First Choice Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Petoskey, MI
  • NPI 1619031010
  NPD (past)
• PGPT, LLC

  dba Fyzical Therapy and Balance Center of Petoskey

  • Physical Therapy Clinic/Center
  • Petoskey, MI
  • NPI 1083456834
  NPD (past)

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1235404948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 BRIDGE ST",
            "city": "EAST JORDAN",
            "state": "MI",
            "postal_code": "497279318",
            "telephone_number": "989-996-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 BRIDGE ST",
            "city": "EAST JORDAN",
            "state": "MI",
            "postal_code": "497279318",
            "telephone_number": "989-996-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWKA",
        "first_name": "KRISTINA",
        "middle_name": "K",
        "credential": "AT, PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-13",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502004407",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601000735",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monarch Family Chiropractic LLC (Monarch Family Chiropractic)
• Munson Healthcare Charlevoix Hospital (Munson Healthcare Jordan Valley Medicine)
• Nicole Nichols, PT, DPT
• Northern Healthcare PLLC
• Keith David Nowak, PHARM. D.
• Jaleesa O'Neal, PT, DPT
• Occupational Planning and Placement (Occupational Planning and Placement Inc.)
• Cynthia Ann Pepin, LMSW
• Shawn M Pertunen, DO
• Martina Peterson, DC

• Physical Therapy Assistant in East Jordan, MI
• Providers in East Jordan, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.