Individual provider Active NPI

Kirsten M Lathrop, DPT

  • Physical Therapist
  • Peoria, IL
National Provider Identifier
1730630054
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070022453 Issued in IL
Practice address
719 N William Kumpf Blvd Ste 200
Peoria, IL 61605-2531
Phone
(309) 671-2950
Fax
(309) 671-2975
NPI assigned
Oct 21, 2016
Last updated
Apr 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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 070022453 IL Primary

Addresses

Primary practice location

719 N William Kumpf Blvd Ste 200
Peoria, IL 61605-2531

Mailing address

719 N William Kumpf Blvd Ste 200
Peoria, IL 61605-2531
Phone (309) 671-2950

Other practice location 1

2338 W Van Winkle Way
Peoria, IL 61615-7483
Phone (309) 693-9189

Other names 1

  • Kirsten M Grothaus 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

NPI Registry JSON

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1730630054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 N WILLIAM KUMPF BLVD STE 200",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616052531",
            "telephone_number": "309-671-2950",
            "fax_number": "309-671-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 N WILLIAM KUMPF BLVD STE 200",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616052531",
            "telephone_number": "309-671-2950",
            "fax_number": "309-671-2975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2338 W Van Winkle Way",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616157483",
            "country_code": "US",
            "telephone_number": "309-693-9189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LATHROP",
        "first_name": "KIRSTEN",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-21",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070022453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTEN",
            "last_name": "GROTHAUS",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.