Kristine Marie Mace, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

02217 Issued in IA

Practice address

434 Highway 1 W
Iowa City, IA 52246-4204

Phone

(319) 354-3824

NPI assigned

Feb 7, 2006

Last updated

Mar 1, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Time of Your Life Therapy

  dba Time of Your Life Fitness and Physical Therapy

  • Physical Therapy Clinic/Center
  • Iowa City, IA
  • NPI 1669600029
  Authorized official Same address or phone
• Wapsi Physical Therapy 2 PLLC

  • Physical Therapy Clinic/Center
  • Anamosa, IA
  • NPI 1295643088
  NPD (past)
• Wapsi Physical Therapy Inc

  • Physical Therapist
  • Anamosa, IA
  • NPI 1841278090
  NPD (past)

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1508838194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 COPPER MOUNTAIN DR",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523178827",
            "telephone_number": "319-631-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 HIGHWAY 1 W",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522464204",
            "telephone_number": "319-354-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACE",
        "first_name": "KRISTINE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070014508",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "02217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari E Maas, DDS
• Rachel Maassen, MD
• Tad Rutledge Mabry, D.D.S.
• Joseph Robert Mac
• John R. Macatee, D.O.
• Donald E Macfarlane, MD
• Camilla Machado Feitosa de Al
• Ann M Machlab, MD
• Shantel Renae Macias, MSN, RN
• Fernando Maciel Barbosa, MD

• Physical Therapist in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.