Individual provider Active NPI

Kristine Hepner, DPT

  • Physical Therapist
  • Crown Point, IN
National Provider Identifier
1497295471
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05013235A Issued in IN
Practice address
856 N Superior Dr
Crown Point, IN 46307
Phone
(219) 213-3942
Fax
(219) 213-3943
NPI assigned
Feb 24, 2017
Last updated
Jan 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070023106 IL
Physical Therapist 225100000X 05013235A IN Primary

Addresses

Primary practice location

856 N Superior Dr
Crown Point, IN 46307

Mailing address

33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Phone (586) 350-2644

Other practice location 1

3939 Franklin St Ste 1
Michigan City, IN 46360
Phone (219) 214-4060

Other names 1

  • Kristine Kassl Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190109002068 IN Practitioner - Physical Therapist in Private Practice 6204109655 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pursuitpt LLCGroup PAC ID 0941606578, 7 clinicians

Practice addresses (Care Compare)

1675 E N St
Crown Point, IN 46307-8568
Phone (219) 201-1422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05013235AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Oct 25, 2021 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Oct 25, 2021 Accepting new patients
Pursuitpt LLC Physical Therapist CurrentSince Aug 30, 2022 Accepting new patients

Locations

856 N Superior Dr
Crown Point, IN 46307
Phone (219) 213-3942

1675 E North St
Crown Point, IN 46307
Phone (219) 201-1422

1992 E Stop 13 Rd
Indianapolis, IN 46227
Phone (317) 808-0230

9321 Wicker Ave
Ste 105
Saint John, IN 46373
Phone (219) 310-8366

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

Interoperability endpoints

  • Direct secure messaging: kristine.kassl.p9@direct.athleticoltd.nextgenshare.com
  • Direct secure messaging: kristine.kassl.p7@direct.athleticoltd.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1497295471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-350-2644",
            "fax_number": "586-350-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 N SUPERIOR DR",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "46307",
            "telephone_number": "219-213-3942",
            "fax_number": "219-213-3943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3939 Franklin St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Michigan City",
            "state": "IN",
            "postal_code": "46360",
            "country_code": "US",
            "telephone_number": "219-214-4060",
            "fax_number": "219-214-4061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEPNER",
        "first_name": "KRISTINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-24",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070023106",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05013235A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "KASSL",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.