Kristin M Christian, P.T.

Key facts

NPI

1508062902

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

070-014411 (IL)

Practice address

3266 Resource Parkway
Dekalb, IL 60115-5330

Phone

(815) 756-8524

Fax

(815) 756-1841

NPI assigned

Jun 22, 2007

Sex

Female

Sole proprietor

No

Organizations & group practices 3

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.

• Northern Rehabilitation & Sports Medicine Associates, Inc. Physical Therapist · Dekalb, IL · NPI 1336151042
  Medicare reassignment Care Compare group NPD IL · PHYSICAL THERAPIST
• Northern Rehabilitation and Sports Medicine Associates Physical Therapist · Rochelle, IL · NPI 1821267600
  NPD PHYSICAL THERAPIST
• Northern Rehabilitation and Sports Medicine Associates Physical Therapist · Genoa, IL · NPI 1831368612
  NPD (past) PHYSICAL THERAPIST

Medicare Care Compare profile

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Rehabilitation and Sports Medicine Associates, Inc. (12 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in IL

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other names

• Ms. Kristin M. Hermann Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 27, 2010.

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274918400000",
    "number": "1508062902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3266 RESOURCE PARKWAY",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601155330",
            "telephone_number": "815-756-8524",
            "fax_number": "815-756-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3266 RESOURCE PARKWAY",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601155330",
            "telephone_number": "815-756-8524",
            "fax_number": "815-756-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "KRISTIN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2010-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070014411",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-014411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "HERMANN",
            "middle_name": "M.",
            "prefix": "MS.",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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All providers in Dekalb, IL · Physical Therapist in Illinois