Active NPI
Kristen Ann Kern
- Physical Therapist
- Michigan City, IN
National Provider Identifier
1811807563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05016356A
- Practice address
- 3939 Franklin St Ste 1
Michigan City, IN 46360-7984 - Phone
- (219) 214-4060
- NPI assigned
- Sep 8, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2022023836 | MO | |
| Physical Therapist | 225100000X | 05016356A | IN | Primary |
Addresses
Primary practice location
3939 Franklin St Ste 1
Michigan City, IN 46360-7984
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1811807563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 YORK RD STE 300",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3939 FRANKLIN ST STE 1",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463607984",
"telephone_number": "219-214-4060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERN",
"first_name": "KRISTEN",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-08",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2022023836",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05016356A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Michigan City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.