Individual provider Active NPI

Kristine Denee Horvath, MSPT

  • Physical Therapist
  • Niles, MI
National Provider Identifier
1811080765
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05005128A Issued in IN
Practice address
410 1/2 N Second St
Niles, MI 49120
Phone
(269) 687-9594
Fax
(269) 687-9543
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501009122 MI
Physical Therapist 225100000X 05005128A IN Primary

Addresses

Primary practice location

410 1/2 N Second St
Niles, MI 49120

Mailing address

410 1/2 N Second St
Niles, MI 49120
Phone (269) 687-9594

Other names 1

  • Ms. Kristine Denee Krieger 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

State licenses

LicenseStateTypeSpecialty
05005128AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life in Balance, LLC Physical Therapist Past Accepting new patients
Life in Balance LLC Physical Therapist Past Accepting new patients
Life in Balance Inc Physical Therapist PastSince Jun 1, 2000 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1811080765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 1/2 N SECOND ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "49120",
            "telephone_number": "269-687-9594",
            "fax_number": "269-687-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 1/2 N SECOND ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "49120",
            "telephone_number": "269-687-9594",
            "fax_number": "269-687-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORVATH",
        "first_name": "KRISTINE",
        "middle_name": "DENEE",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501009122",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05005128A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "KRIEGER",
            "middle_name": "DENEE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Niles, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.