Individual provider Active NPI

Kristina Johnson, DPT

  • Physical Therapist
  • Hartland, WI
National Provider Identifier
1528313384
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12129-24 Issued in WI
Practice address
600 Hartbrook Dr Ste 111
Hartland, WI 53029
Phone
(262) 367-3110
Fax
(262) 367-3112
NPI assigned
Jul 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12129-24 WI Primary

Addresses

Primary practice location

600 Hartbrook Dr Ste 111
Hartland, WI 53029

Mailing address

600 Hartbrook Dr Ste 111
Hartland, WI 53029-1436
Phone (262) 367-3110

Other practice location 1

21075 Swenson Dr Ste 600
Waukesha, WI 53186-2062
Phone (262) 798-8646

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120914000791 WI Practitioner - Physical Therapist in Private Practice 7113175258 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wisconsin Orthopedic Physical TherapyGroup PAC ID 4486891017, shared by 2 NPIs, 11 clinicians
Waukesha Physical Therapy ClinicGroup PAC ID 1052408689, 2 clinicians

Practice addresses (Care Compare)

11702 W N Ave
Suite B
Wauwatosa, WI 53226-2132
Phone (262) 352-7868

590 W N Shore Dr
Hartland, WI 53029-8312
Phone (414) 763-2941

600 Hartbrook Dr
Suite 111
Hartland, WI 53029-1436
Phone (262) 367-3110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12129-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Waukesha Physical Therapy Clinic Physical Therapist CurrentSince May 4, 2018 Accepting new patients
Wisconsin Orthopedic Physical Therapy Physical Therapist CurrentSince Sep 9, 2025 Accepting new patients
Wisconsin Orthopedic Physical Therapy Physical Therapist CurrentSince Sep 9, 2025 Accepting new patients
Focus Physical Therapy LLC Physical Therapist PastSince Feb 1, 2005 Accepting new patients

Locations

590 W North Shore Dr
Hartland, WI 53029
Phone (414) 763-2941

600 Hartbrook Dr
Ste 111
Hartland, WI 53029
Phone (262) 367-3110

21075 Swenson Dr
Ste 600
Waukesha, WI 53186
Phone (262) 798-8646

11702 W North Ave
Wauwatosa, WI 53226

11702 W North Ave
#B
Wauwatosa, WI 53226
Phone (262) 352-7868

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1528313384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HARTBROOK DR STE 111",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530291436",
            "telephone_number": "262-367-3110",
            "fax_number": "262-367-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HARTBROOK DR STE 111",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "53029",
            "telephone_number": "262-367-3110",
            "fax_number": "262-367-3112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21075 Swenson Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531862062",
            "country_code": "US",
            "telephone_number": "262-798-8646",
            "fax_number": "262-798-8640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KRISTINA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12129-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.