Individual provider Active NPI

Kirsten Alice Rowland, PTA

  • Physical Medicine & Rehabilitation Physician
  • Crystal Lake, IL
National Provider Identifier
1578339024
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
160.009192 Issued in IL
Practice address
269 Liberty Rd Unit B
Crystal Lake, IL 60014-8032
Phone
(815) 893-9075
NPI assigned
Nov 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 160.009192 IL Primary

Addresses

Primary practice location

269 Liberty Rd Unit B
Crystal Lake, IL 60014-8032

Mailing address

2614 W Emerald CT
McHenry, IL 60051-9345
Phone (815) 347-4787

Other practice location 1

110 W Woodstock St Ste A
Crystal Lake, IL 60014-4239
Phone (815) 893-9075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
160.009192ILMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Smith Physical Therapy and Running Academy, LLC CurrentSince May 17, 2021 Accepting new patients

Locations

269 Liberty Rd
Unit B
Crystal Lake, IL 60014
Phone (815) 893-9075

110 W Woodstock St
Ste A
Crystal Lake, IL 60014
Phone (815) 893-9075

Organizations & group practices 1

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": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1578339024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 W EMERALD CT",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600519345",
            "telephone_number": "815-347-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 LIBERTY RD UNIT B",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148032",
            "telephone_number": "815-893-9075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 W Woodstock St Ste A",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600144239",
            "country_code": "US",
            "telephone_number": "815-893-9075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROWLAND",
        "first_name": "KIRSTEN",
        "middle_name": "ALICE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "160.009192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.