Individual provider Active NPI

Kristen Topliff, DPT

  • Physical Therapist
  • Moscow, ID
National Provider Identifier
1245740638
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4474 Issued in ID
Practice address
700 S Main St
Moscow, ID 83843-3056
Phone
(208) 883-6547
Fax
(208) 883-6452
NPI assigned
Oct 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4474 ID Primary

Addresses

Primary practice location

700 S Main St
Moscow, ID 83843-3056

Mailing address

1053 Eastland Dr
Twin Falls, ID 83301-6747
Phone (208) 736-9011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180501000750 ID Practitioner - Physical Therapist in Private Practice 7416211321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifestyles Therapy and Wellness Center IncGroup PAC ID 3274602461, 2 clinicians

Practice addresses (Care Compare)

276 Eastland Dr N
Twin Falls, ID 83301-4458
Phone (208) 735-8563

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4474IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestyles Therapy & Wellness Center Inc. Physical Therapist CurrentSince Nov 26, 2018 Accepting new patients
Castle Therapy PLLC Physical Therapist CurrentSince Apr 25, 2024 Accepting new patients

Locations

276 Eastland Dr N
Twin Falls, ID 83301
Phone (208) 308-4661

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1245740638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 EASTLAND DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016747",
            "telephone_number": "208-736-9011",
            "fax_number": "208-934-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S MAIN ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433056",
            "telephone_number": "208-883-6547",
            "fax_number": "208-883-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOPLIFF",
        "first_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "4474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moscow, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.