Kim Prestangen, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160008803 Issued in IL

Practice address

1000 Central St Ste 101
Evanston, IL 60201-1780

Phone

(847) 570-1260

NPI assigned

Jun 25, 2022

Last updated

Jun 25, 2022By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1656115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656115200000",
    "number": "1487386843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "SPRING GREEN",
            "state": "WI",
            "postal_code": "535880310",
            "telephone_number": "224-392-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CENTRAL ST STE 101",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011780",
            "telephone_number": "847-570-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTANGEN",
        "first_name": "KIM",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-25",
        "last_updated": "2022-06-25",
        "certification_date": "2022-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160008803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Presence Chicago Hospitals Network (Amita Health Saint Francis Hospital - Evanston)
• Presence Chicago Hospitals Network (Presence SFH Specialty Group)
• Presence Healthcare Services (Presence Medical Group)
• Presence Healthcare Services
• Presence Saint Francis Hospital
• Kelsey Preston
• Christine Price, BCABA
• Jorge J Prieto, M.D.
• Breanne Therese Prindeville, GC
• Private Healthcare Facilities

• Physical Therapy Assistant in Evanston, IL
• Providers in Evanston, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.