Kristine Marie Sova, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10707-024 Issued in WI

Practice address

1100 Commerce Dr
Suite 114
Racine, WI 53406-3700

Phone

(262) 886-3431

Fax

(262) 886-3954

NPI assigned

Apr 22, 2008

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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.

• Prohealth Medical Group Inc.

  • Pediatrics Physician
  • Waukesha, WI
  • NPI 1356322440
  Medicare reassignment NPD
• Prohealth Medical Group Inc

  • Family Medicine Physician
  • Hartland, WI
  • NPI 1386785178
  NPD
• Medical Support Services Inc

  • Rehabilitation Clinic/Center
  • Mount Pleasant, WI
  • NPI 1114143781
  NPD (past)

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237507200000",
    "number": "1457525487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10368 S MONARDY LN",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531546634",
            "telephone_number": "414-207-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 COMMERCE DR",
            "address_2": "SUITE 114",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534063700",
            "telephone_number": "262-886-3431",
            "fax_number": "262-886-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOVA",
        "first_name": "KRISTINE",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2009-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "10707-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHYSICAL THERAPY LISCENCE",
            "identifier": "10707-024",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southeast Anesthesiology
• Southeast Wisconsin Hearing, LLC
• Southeast Wisconsin Surgery Center LLC
• Southwest Dental Group, S.C.
• Southwest Family Dental Care LLC
• Jennifer Spatafora, PHARMD
• Roger Theodore Spear, PHARMD
• Special Fitness LLC
• Spine and Joint Institute of Racine, Inc
• Spinealign Chiropractic, LLC

• Physical Therapist in Racine, WI
• Providers in Racine, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; 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.