Kristen P Fields, PT, MPT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1103839 Issued in KS

Practice address

716 N 119TH St W
Suite 112
Wichita, KS 67235-1938

Phone

(316) 721-1900

Fax

(316) 721-1926

NPI assigned

May 30, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristen P Clock Former name

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrative Center for Therapy PAGroup PAC ID 7214318336, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Integrative Center for Therapy P.a.

  • Physical Therapist
  • Wichita, KS
  • NPI 1912598681

  KS, Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Legacy Healthcare Services, Inc.

  • Physical Therapist
  • Wichita, KS
  • NPI 1730636846

  KS, Physical Therapist

  Medicare reassignment NPD
• In Control Physical Therapy LLC

  • Physical Therapist
  • Wichita, KS
  • NPI 1912416041
  NPD Authorized official
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489
  NPD
• Essential Core Physical Therapy, Inc.

  • Orthopedic Physical Therapist
  • Wichita, KS
  • NPI 1659676088
  NPD (past)
• Summit Physical Therapy, LLC

  • Physical Therapist
  • Wichita, KS
  • NPI 1891226718
  NPD (past)
• Activcare Physical Therapy, LLC

  • Clinic/Center
  • Raleigh, NC
  • NPI 1548409626

  Physical Therapist

  NPD (past)
• Carolina Complete Rehab Center of Hope Mills Inc

  • Physical Therapist
  • Hope Mills, NC
  • NPI 1144270372
  NPD (past)

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1447697453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 S BELMONT ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672181306",
            "telephone_number": "620-218-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 N 119TH ST W",
            "address_2": "SUITE 112",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672351938",
            "telephone_number": "316-721-1900",
            "fax_number": "316-721-1926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13011 E 21st St N Ste 107",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672307407",
            "country_code": "US",
            "telephone_number": "316-867-2451",
            "fax_number": "316-867-2453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "KRISTEN",
        "middle_name": "P",
        "credential": "PT, MPT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-30",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1103839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "CLOCK",
            "middle_name": "P",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Edmond G Feuille II, MD
• Barbara Lynn Fiegenbaum, M.A., CCC-SLP
• Jessica Field
• Andrew S Fields, DO
• Bailee Fields, AUD
• Patricia Fields
• Patrick Truman Fields Jr., DC
• Renee C Fields, LSCSW
• Fieldview Healthcare, Inc
• Fieldview Healthcare, Inc

• All providers in Wichita, KS
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.