Individual provider Active NPI

Kristen L. Neisler, PT, ATC

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1366490344
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070010437 Issued in IL
Practice address
5259 W Ardmore Ave
Chicago, IL 60646-6520
Phone
(773) 505-1212
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2026

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 070010437 IL Primary

Addresses

Primary practice location

5259 W Ardmore Ave
Chicago, IL 60646-6520

Mailing address

5259 W Ardmore Ave
Chicago, IL 60646-6520
Phone (773) 505-1212

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190910000855 IL Practitioner - Physical Therapist in Private Practice 8628307162 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rci (WRS), LLC CurrentSince Jul 31, 2019 Accepting new patients
Rci (WRS), LLC CurrentSince Jul 31, 2019 Accepting new patients
Rci (WRS), LLC. Physical Therapist Current Accepting new patients
Kinetic Edge PT LLC Physical Therapist Current Accepting new patients

Locations

9000 W College Pkwy
Palos Hills, IL 60465
Phone (618) 529-3201

826 W Touhy Ave
Park Ridge, IL 60068
Phone (847) 720-4165

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1366490344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5259 W ARDMORE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466520",
            "telephone_number": "773-505-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5259 W ARDMORE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466520",
            "telephone_number": "773-505-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEISLER",
        "first_name": "KRISTEN",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "PT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070010437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.