Kraig Niewohner, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160.004062 Issued in IL

Practice address

435 Camden Rd
Mount Sterling, IL 62353-1058

Phone

(217) 773-3377

Fax

(217) 773-3255

NPI assigned

Jun 8, 2010

Sex

Male

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 and National Provider Directory roles.

• Select Outpatient Services Inc

  • Rehabilitation Clinic/Center
  • Newcastle, WA
  • NPI 1285909531
  NPD (past)

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1851611255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 FRONTAGE RD",
            "address_2": "SUITE 2415",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600931202",
            "telephone_number": "847-441-5593",
            "fax_number": "847-441-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 CAMDEN RD",
            "city": "MOUNT STERLING",
            "state": "IL",
            "postal_code": "623531058",
            "telephone_number": "217-773-3377",
            "fax_number": "217-773-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEWOHNER",
        "first_name": "KRAIG",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-08",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.004062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moreland & Devitt Inc
• Lindsay Moser
• Mount Sterling Dental Center, P.C.
• Mount Sterling Health and Rehab Center LLC
• Mount Sterling Health and Rehab Center LLC
• Roxie Oliver
• Kaycee A Peterman
• Premise Health of Illinois Medical PC
• Quincy Physicians & Surgeons Clinic, PLLC
• Quincy Physicians & Surgeons Clinic, PLLC

• Physical Therapy Assistant in Mount Sterling, IL
• Providers in Mount Sterling, 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 Jun 8, 2010; 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.