Kristin Craker, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1120-19 Issued in WI

Practice address

604 S Webb St
Wittenberg, WI 54499-9040

Phone

(715) 253-2037

Fax

(715) 253-2056

NPI assigned

Jun 1, 2011

Last updated

Jun 1, 2011By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306886400000",
    "number": "1790079200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 S WEBB ST",
            "city": "WITTENBERG",
            "state": "WI",
            "postal_code": "544999040",
            "telephone_number": "715-253-2037",
            "fax_number": "715-253-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S WEBB ST",
            "city": "WITTENBERG",
            "state": "WI",
            "postal_code": "544999040",
            "telephone_number": "715-253-2037",
            "fax_number": "715-253-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAKER",
        "first_name": "KRISTIN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "1120-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce A Beversdorf, DDS
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• Emily M Calonder, NP-C
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• Paul Bryan Dahms, RN
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• Terri Graham, DPT
• Erin Grosskopf, PTA
• Gwidt Pharmacy Inc

• Physical Therapy Assistant in Wittenberg, WI
• Providers in Wittenberg, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.