Individual provider Active NPI

Kristin Michele Siehr, DPT

  • Physical Therapist
  • Cedarburg, WI
National Provider Identifier
1659565133
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10888-24 Issued in WI
Practice address
N49W6693 Western Rd
Cedarburg, WI 53012-1804
Phone
(414) 944-1164
NPI assigned
Aug 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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 10888-24 WI Primary

Addresses

Primary practice location

N49W6693 Western Rd
Cedarburg, WI 53012-1804

Mailing address

N49W6693 Western Rd
Cedarburg, WI 53012-1804
Phone (414) 944-1164

Other identifiers 3

IdentifierTypeStateIssuer
1659565133MedicaidWI
1831358662MedicaidWI
10888-24OtherWIPHYSICAL THERAPIST

Other names 1

  • Kristin Michele Flaig-Novak Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
10888-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Clinic Limited Practice Physical Therapist PastSince Jul 1, 2006 Accepting new patients
Freedom Physical Therapy Services SC Physical Therapist PastSince Jun 27, 2005 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1659565133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N49W6693 WESTERN RD",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530121804",
            "telephone_number": "414-944-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N49W6693 WESTERN RD",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530121804",
            "telephone_number": "414-944-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEHR",
        "first_name": "KRISTIN",
        "middle_name": "MICHELE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "10888-24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659565133",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831358662",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "10888-24",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "FLAIG-NOVAK",
            "middle_name": "MICHELE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cedarburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.