Amanda Klosterman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038013072 Issued in IL

Practice address

2172 Blackberry Dr
Ste 102
Geneva, IL 60134-1103

Phone

(630) 332-0471

Fax

(630) 402-3813

NPI assigned

Mar 1, 2016

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

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Evolve Chiropractic Rockford Crossings PLLCGroup PAC ID 4082060207, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Evolve Chiropractic Rockford Crossings PLLC

  • Chiropractor
  • Rockford, IL
  • NPI 1598455453
  Medicare reassignment Care Compare group NPD
• Evolve Chiropractic Rockford PLLC

  dba Evolve Chiropractic Rockford

  • Chiropractor
  • Rockford, IL
  • NPI 1881238434
  Medicare reassignment NPD
• Physical Therapy for the Carolinas

  dba PT for the Carolinas

  • Physical Therapist
  • Charlotte, NC
  • NPI 1164401568
  NPD (past)

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1487014619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2172 BLACKBERRY DR",
            "address_2": "STE 102",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601341103",
            "telephone_number": "630-332-0471",
            "fax_number": "630-402-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2172 BLACKBERRY DR",
            "address_2": "STE 102",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601341103",
            "telephone_number": "630-332-0471",
            "fax_number": "630-402-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOSTERMAN",
        "first_name": "AMANDA",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miki Kitahata, OD
• Anthony William Kitslaar, MD
• Rose Marie Klein, LPC
• KLG Counseling Services, P.C.
• Bryanna Klinetobe
• Nicole Knecht, RD
• Andrew Justin Knight, MD
• Kellie L Knox, PT
• Lisa Ann Koehler, LCSW
• Susan L Koestler

• Chiropractor in Geneva, IL
• Providers in Geneva, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.