Daniel Steven Kristoff, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT017205 Issued in OH

Practice address

3677 Traver Rd
Shaker Heights, OH 44122-5165

Phone

(440) 376-9415

NPI assigned

Mar 13, 2011

Sex

Male

Sole proprietor

Yes

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)

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 and National Provider Directory roles.

• Evolution Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Mentor, OH
  • NPI 1467151662
  NPD Authorized official
• Rehab Revolution LLC

  • Physical Therapy Clinic/Center
  • Mentor, OH
  • NPI 1609586080
  NPD Authorized official

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

{
    "created_epoch": "1299974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1346548484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3677 TRAVER RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225165",
            "telephone_number": "440-376-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3677 TRAVER RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225165",
            "telephone_number": "440-376-9415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8600 Skyline Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752434198",
            "country_code": "US",
            "telephone_number": "440-376-9415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRISTOFF",
        "first_name": "DANIEL",
        "middle_name": "STEVEN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-13",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1198228",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT017205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Komforti, DMD
• Yaroslav Kondouch
• Danelle Erin Koppes, NP
• Gretchen Emily Kreider, M.S., CCC-SLP
• Heather Krijt
• Celiaann Jaclyn Kulmala
• Sarah Kurdila
• Jesse Kurn, LPC
• Mandy Devra Kwait, LISW-S
• Jacques Kyanza Kyagilo Sr.

• Physical Therapist in Shaker Heights, OH
• Providers in Shaker Heights, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.