Kristin Adriana Graf
Individual provider Active NPI Physical Therapist · Manitowoc, WI
NPI 1497416671 · NPPES record last updated Jul 11, 2023
Key facts
- NPI
- 1497416671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 1212 Memorial Dr # 1
Manitowoc, WI 54220-2247 - Phone
- (920) 652-9554
- Fax
- (920) 652-9556
- NPI assigned
- Jan 10, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Athletic and Therapeutic Institute of Milwaukee, LLC
Practice addresses (Care Compare)
1212 Memorial Dr
Suite 120
Manitowoc, WI 54220-2247
Phone (920) 652-9554
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.05 of 100
- Quality
- 88.38
- Improvement activities
- 40
- Cost
- 64.82
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in AK, AZ, WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220215001762 | AK | Practitioner - Physical Therapist in Private Practice | 7618360660 | Reassigns benefits to 1 organization |
| I20230213000617 | AZ | Practitioner - Physical Therapist in Private Practice | 7618360660 | Reassigns benefits to 1 organization |
| I20230719002246 | WI | Practitioner - Physical Therapist in Private Practice | 7618360660 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic & Therapeutic Institute of Milwaukee, LLC | Physical Therapist | Current |
Accepting new patients |
| Ati Holdings of Arizona, LLC | Physical Therapist | Current |
Accepting new patients |
| Adient Alaska, LLC | Physical Therapist | Current |
Accepting new patients |
| Athletic & Therapeutic Institute of Milwaukee LLC | Physical Therapist | Current |
Accepting new patients |
| Athletic & Therapeutic Institute of Milwaukee, LLC | Physical Therapist | Current | Accepting new patients |
| Athletic & Therapeutic Institute of Milwaukee, LLC | Physical Therapist | Past |
Accepting new patients |
| Advanced Orthopaedic Physical Therapy, LLC | Physical Therapist | Past |
Accepting new patients |
Locations
3745 Geist Rd
Fairbanks, AK 99709
Phone (907) 456-1112
1919 Lathrop St
Ste 123
Fairbanks, AK 99701
Phone (907) 290-3075
1729 N Dysart Rd
Ste 103
Avondale, AZ 85392
Phone (623) 295-3630
1729 N Dysart Rd
Avondale, AZ 85392
Phone (623) 295-3630
1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058
11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204
1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
1212 Memorial Dr
#1
Manitowoc, WI 54220
Phone (920) 652-9554
1212 Memorial Dr
#120
Manitowoc, WI 54220
Phone (920) 652-9554
S74W16867 Janesville Rd
Muskego, WI 53150
Phone (262) 971-4200
3234 Superior Ave
Sheboygan, WI 53081
Phone (920) 547-2876
2809 S Business Dr
Sheboygan, WI 53081
Phone (920) 803-2179
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
1212 Memorial Dr # 1
Manitowoc, WI 54220-2247
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other practice location 1
3745 Geist Rd
Fairbanks, AK 99709-3554
Phone (907) 456-1112
Other practice location 2
1729 N Dysart Rd
Avondale, AZ 85392-1224
Phone (623) 295-3630
Other providers in Manitowoc, WI
- Rachel Gordon
- Trish Luann Gordon
- Mary A Govier
- Nissa Dee Grabowski
- Emily Jacquelyn Graf
- Amber Lee Grall
- Erin Kathleen Granger
- Danalee J Gray
- Paul Robert Gray
- Bob H Greene
All providers in Manitowoc, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.