Kristina Malast-Alvarez, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06003000A Issued in IN

Practice address

28100 Torch Pkwy
Warrenville, IL 60555-4026

Phone

(630) 413-5800

NPI assigned

May 17, 2022

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

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.

• Cortlyn Therapy, PC

  dba Symbria Outpatient Services

  • Physical Therapist
  • Cincinnati, OH
  • NPI 1235725730
  NPD (past)

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1801533187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 N RUSH ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464031484",
            "telephone_number": "219-916-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28100 TORCH PKWY",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605554026",
            "telephone_number": "630-413-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAST-ALVAREZ",
        "first_name": "KRISTINA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06003000A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Lyons, FNP-BC
• M&M Clinical Services
• Kenneth Ridge Macek, M. D.
• Rebecca Sue Maczko, PA
• Main Street Health Partners, P.C. (Main Street Health Medical Partners - Illinois)
• Penny S. Manning, LCPC
• Michele L Marano, DN
• Marathon Health, LLC (UWC- Warrenville)
• Marathon Health, LLC (UWC-Warrenville)
• Marissa Marcheski, PA-C

• Physical Therapy Assistant in Warrenville, IL
• Providers in Warrenville, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.