Individual provider Active NPI

Kristin Sentz, PTA

  • Physical Therapy Assistant
  • Farwell, MI
National Provider Identifier
1700548567
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
5502006514 Issued in MI
Practice address
2532 W Cadillac Dr
Farwell, MI 48622-9757
Phone
(989) 588-9928
NPI assigned
Oct 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 5502006514 MI Primary

Addresses

Primary practice location

2532 W Cadillac Dr
Farwell, MI 48622-9757

Mailing address

482 Donnet CT
Clare, MI 48617-8915
Phone (989) 418-0578

Other practice location 1

1222 North Dr
MT Pleasant, MI 48858-3200
Phone (989) 772-2957

Other practice location 2

449 Quarter St
Gladwin, MI 48624-1918
Phone (989) 424-3430

Other names 1

  • Kristin Williams 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5502006514MIMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1700548567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 DONNET CT",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486178915",
            "telephone_number": "989-418-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2532 W CADILLAC DR",
            "city": "FARWELL",
            "state": "MI",
            "postal_code": "486229757",
            "telephone_number": "989-588-9928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1222 North Dr",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "MI",
            "postal_code": "488583200",
            "country_code": "US",
            "telephone_number": "989-772-2957",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "449 Quarter St",
            "address_purpose": "LOCATION",
            "city": "Gladwin",
            "state": "MI",
            "postal_code": "486241918",
            "country_code": "US",
            "telephone_number": "989-424-3430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SENTZ",
        "first_name": "KRISTIN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502006514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "WILLIAMS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Farwell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.