Individual provider Active NPI

Kristin Struble, DPT

  • Physical Therapist
  • Langhorne, PA
National Provider Identifier
1528316478
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
026120 Issued in PA
Practice address
2022 E Old Lincoln Hwy Ste 6
Langhorne, PA 19047-3002
Phone
(215) 891-5150
Fax
(215) 891-1410
NPI assigned
Aug 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 20054 MA
Physical Therapist 225100000X 026120 PA Primary

Addresses

Primary practice location

2022 E Old Lincoln Hwy Ste 6
Langhorne, PA 19047-3002

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222

Other names 1

  • Kristin Collins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121031000494 MA Practitioner - Physical Therapist in Private Practice 8224288022
I20170928001583 PA Practitioner - Physical Therapist in Private Practice 8224288022 Reassigns benefits to 1 organization

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
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

2022 E Old Lincoln Hwy
Langhorne, PA 19047-3002
Phone (215) 891-5150

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20054MAMDPhysical Therapist
026120PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Jul 31, 2017 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jul 31, 2017 Accepting new patients
Ati Holdings, LLC Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2641 Street Rd
Bensalem, PA 19020
Phone (267) 525-0135

511 S Oxford Valley Rd
Fairless Hills, PA 19030
Phone (215) 949-7985

307 E Street Rd
Feasterville Trevose, PA 19053
Phone (267) 989-2278

634 Old York Rd
Jenkintown, PA 19046
Phone (215) 881-9181

2022 E Old Lincoln Hwy
Langhorne, PA 19047
Phone (215) 891-5150

2022 E Old Lincoln Hwy
Ste 6
Langhorne, PA 19047
Phone (215) 891-5150

770 Newtown Yardley Rd
Newtown, PA 18940
Phone (215) 860-2990

9475 Roosevelt Blvd
Philadelphia, PA 19114
Phone (215) 464-6200

1100 S Christopher Columbus Blvd
Ste 25
Philadelphia, PA 19147
Phone (267) 592-4508

626 Market St
Philadelphia, PA 19106

118 Townsedge Dr
Quarryville, PA 17566
Phone (717) 806-5126

680 Stony Hill Rd
Unit 8
Yardley, PA 19067
Phone (215) 595-2646

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.

NPI Registry JSON

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1528316478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2222",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 E OLD LINCOLN HWY STE 6",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190473002",
            "telephone_number": "215-891-5150",
            "fax_number": "215-891-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUBLE",
        "first_name": "KRISTIN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "20054",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "026120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "COLLINS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.