Kristina Greathouse, PT, DPT, MTC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501011570 Issued in MI

Practice address

6209 W Saginaw Hwy Ste a&B
Lansing, MI 48917-2491

Phone

(800) 974-4378

Fax

(630) 515-1536

NPI assigned

Aug 10, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristina De Rosa Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DPT Holdings LLCGroup PAC ID 4688679293, 170 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• DPT Holdings PLLC

  • Physical Therapist
  • Plainfield, IL
  • NPI 1689648602

  MI

  Medicare reassignment Care Compare group
• Manual Physical Therapy Specialists, LLC

  • Physical Therapy Clinic/Center
  • East Lansing, MI
  • NPI 1316584451

  Physical Therapist

  Medicare reassignment NPD
• DPT Holdings LLC

  • Occupational Therapist
  • Lansing, MI
  • NPI 1154031524
  NPD

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1689128415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24014 W RENWICK RD UNIT 206",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605448711",
            "telephone_number": "800-974-4378",
            "fax_number": "630-515-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6209 W SAGINAW HWY STE A&B",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489172491",
            "telephone_number": "800-974-4378",
            "fax_number": "630-515-1536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2520 E Jolly Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489105729",
            "country_code": "US",
            "telephone_number": "800-974-4378 x1910",
            "fax_number": "630-515-1536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4660 S Hagadorn Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488236804",
            "country_code": "US",
            "telephone_number": "800-974-4378 x1874",
            "fax_number": "630-515-1536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1218 E Grand River Rd",
            "address_purpose": "LOCATION",
            "city": "Williamston",
            "state": "MI",
            "postal_code": "488959335",
            "country_code": "US",
            "telephone_number": "800-974-4378 x2030",
            "fax_number": "630-515-1536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREATHOUSE",
        "first_name": "KRISTINA",
        "credential": "PT, DPT, MTC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-10",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "DE ROSA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Great Lakes Pediatric Associates
• Greater Lansing Chiropractic
• Greater Lansing Chiropractic Clinics Inc
• Greater Lansing Orthotic Clinic Inc.
• Greater Lansing Surgeons, P.C.
• Lauren Marie Greathouse, MS CCC-SLP
• Cydney Savannah Green
• Glenna Michele Green
• Lynnieshya Green
• Madeline Jeanell Green

• Physical Therapist in Lansing, MI
• Providers in Lansing, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.