Kristina Mastrocola, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070026793 Issued in IL

Practice address

533 S Division St Ste B
Elmhurst, IL 60126-3982

Phone

(331) 215-4164

NPI assigned

Jul 18, 2022

Last updated

Jul 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1508591264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5241 N CHRISTIANA AVE UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606254724",
            "telephone_number": "732-887-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 S DIVISION ST STE B",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263982",
            "telephone_number": "331-215-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTROCOLA",
        "first_name": "KRISTINA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070026793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thanaphat Martino
• Michael Martirano Jr., M.D.
• Linda Maskeri
• Georgiann K. Massa, M.S., CCC-SLP
• Megan M Mastalerz
• Kevin Thengumtharayil Mathew, DO
• Riny Thomas Mathew, APN/CNP
• Melinda Sue Mathews, MA, LCPC
• Sarah Anne Mathiason, APN
• David M Matusiak, DO

• Physical Therapist in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.