Kristen Renee Kenroy, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1191950 Issued in TX

Practice address

615 S Clinton St
Grand Ledge, MI 48837-2355

Phone

(517) 709-4677

Fax

(517) 798-5667

NPI assigned

Oct 23, 2009

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

• Ms. Kristen Renee Heimsoth Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kinematic Concepts Physical Therapy & Sports Rehab, PLLC

  • Physical Therapist
  • Helotes, TX
  • NPI 1285764936
  NPD (past)

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1487980587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12918 BANDERA RD",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234002",
            "telephone_number": "210-372-9600",
            "fax_number": "210-372-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S CLINTON ST",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488372355",
            "telephone_number": "517-709-4677",
            "fax_number": "517-798-5667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3315 E Michigan Ave Ste 6",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489124600",
            "country_code": "US",
            "telephone_number": "517-709-4677",
            "fax_number": "517-798-5667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2380 Cedar St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Holt",
            "state": "MI",
            "postal_code": "488422211",
            "country_code": "US",
            "telephone_number": "517-709-4677",
            "fax_number": "517-798-5667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENROY",
        "first_name": "KRISTEN",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-23",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1191950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "HEIMSOTH",
            "middle_name": "RENEE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bryan Johnson, NP
• Barbara Jones
• Christine Jones, OT
• Sirisha Kamarajugadda
• Kathleen Kenny, D.C.
• Jessica A Kiley, MD
• Hannah Klepal
• Rachel Laborde, NTP,NRT,MBCE
• Lake Chiropractic Center, PLLC
• Chad Lake, D.C.

• Physical Therapist in Grand Ledge, MI
• Providers in Grand Ledge, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.