Active NPI
Christina Seefeldt, P.T.
- Physical Therapist
- Lake Geneva, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10265-024
- Practice address
- 902 S Wells St
Lake Geneva, WI 53147-2422 - Phone
- (262) 249-1915
- Fax
- (262) 249-1397
- NPI assigned
- May 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10265-024 | WI | Primary |
Addresses
Primary practice location
902 S Wells St
Lake Geneva, WI 53147-2422
Mailing address
600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-1980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 859400067 | Other | WI | MEDICARE |
Other names 1
- Christina Kmiec
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25250 75TH St
Salem, WI 53168-8705
Phone (262) 843-4200
2615 N Downer Ave
Milwaukee, WI 53211-4245
Phone (414) 962-4400
5708 B 75TH St
Kenosha, WI 53142-3635
Phone (262) 697-9135
902 S Wells St
Lake Geneva, WI 53147-2422
Phone (262) 249-1915
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10265-024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
Locations
600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250
3701 80th St
Kenosha, WI 53142
Phone (262) 697-1730
5708 75th St
#B
Kenosha, WI 53142
Phone (262) 697-9135
6926 39th Ave
Ste 200
Kenosha, WI 53142
Phone (262) 942-0163
6926 39th Ave
Kenosha, WI 53142
Phone (262) 942-0163
902 S Wells St
Lake Geneva, WI 53147
Phone (262) 249-1915
2615 N Downer Ave
Milwaukee, WI 53211
Phone (414) 962-4400
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1386858207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 OAKMONT LN STE 600C",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595548",
"telephone_number": "630-575-1980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 S WELLS ST",
"city": "LAKE GENEVA",
"state": "WI",
"postal_code": "531472422",
"telephone_number": "262-249-1915",
"fax_number": "262-249-1397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEEFELDT",
"first_name": "CHRISTINA",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "10265-024",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "859400067",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "KMIEC",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lake Geneva, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.