Kristen Nicole Alcantara, PTA
Individual provider Active NPI Physical Therapy Assistant · Goshen, IN
NPI 1487327458 · NPPES record last updated Jul 27, 2021
Key facts
- NPI
- 1487327458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 06004819A (IN)
- Practice address
- 223 Chicago Ave
Goshen, IN 46526-2311 - Phone
- (574) 584-3200
- Fax
- (574) 584-3204
- NPI assigned
- Jul 27, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06004819A | IN | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Rehabilitation Services, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 06004819A | IN | Yes |
Addresses
Primary practice location
223 Chicago Ave
Goshen, IN 46526-2311
Mailing address
33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Phone (586) 350-2644
Other names
- Kristen Nicole Werntz
Other providers in Goshen, IN
- Bolanle Adeola Adepoju
- Aegis Trusted Dentistry, P.C.
- Natalia Aguilar
- Matthew G Aitken
- Lynn J. Albrecht
- Allied Physicians Inc., D/B/a Fort Wayne Neurology
- Allied Physicians Inc., D/B/a Fort Wayne Neurosurgery
- Rene Alonzo
- Stephanie Alvarez
- Amanda R. Einselen, LLC
All providers in Goshen, IN · Physical Therapy Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.