Individual provider Active NPI

Kristin A Kissling, DPT

  • Physical Therapist
  • Quarryville, PA
National Provider Identifier
1811329568
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT023026 Issued in PA
Practice address
101 S Lime St
Quarryville, PA 17566-1233
Phone
(717) 786-8053
NPI assigned
Aug 5, 2013
Last updated
Aug 5, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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 PT023026 PA Primary

Addresses

Primary practice location

101 S Lime St
Quarryville, PA 17566-1233

Mailing address

75 Evelyn Dr
Millersburg, PA 17061-1258
Phone (717) 692-4708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130918000538 PA Practitioner - Physical Therapist in Private Practice 5890939532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1192 W Penn Ave
Suite a
Womelsdorf, PA 19567-9702
Phone (610) 589-2263

5479 Pottsville Pike
Suite 200
Leesport, PA 19533-8634
Phone (610) 926-6778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT023026PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Strive Physical Therapy Specialists LLC CurrentSince Dec 1, 2021 Accepting new patients
Strive Physical Therapy Specialists LLC Physical Therapist CurrentSince Dec 1, 2021 Accepting new patients
Strive Physical Therapy Specialists LLC Physical Therapist Past Accepting new patients

Locations

5479 Pottsville Pike
Ste 200
Leesport, PA 19533
Phone (610) 926-6778

2 Penn Ctr
Ste 450
Philadelphia, PA 19102
Phone (215) 454-2812

1011 W Penn Ave
Robesonia, PA 19551
Phone (610) 589-2263

1192 W Penn Ave
Ste A
Womelsdorf, PA 19567
Phone (610) 589-2263

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1811329568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 EVELYN DR",
            "city": "MILLERSBURG",
            "state": "PA",
            "postal_code": "170611258",
            "telephone_number": "717-692-4708",
            "fax_number": "717-692-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S LIME ST",
            "city": "QUARRYVILLE",
            "state": "PA",
            "postal_code": "175661233",
            "telephone_number": "717-786-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSLING",
        "first_name": "KRISTIN",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT023026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quarryville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.