Active NPI
Kristie A Kreis, PT
- Physical Therapist
- Owego, NY
National Provider Identifier
1861698235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 023247-1
- Practice address
- 173 Front St
Ste 1
Owego, NY 13827-2536 - Phone
- (607) 948-4047
- Fax
- (707) 687-1209
- NPI assigned
- Jun 22, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 023247-1 | NY | Primary |
Addresses
Primary practice location
173 Front St
Ste 1
Owego, NY 13827-2536
Mailing address
173 Front St Ste 1
Owego, NY 13827-2536
Phone (607) 948-4047
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
| License | State | Type | Specialty |
|---|---|---|---|
| 023247-1 | NY | MD | Physical Therapist |
| 023247 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sensational Kids Physical, Occupational & Speech Therapy Services PLLC | Current | Accepting new patients | |
| Nysarc Inc., Chemung County Chapter | Past | Accepting new patients | |
| Chemung-Schuyler Counties Chapter, Nysarc, Inc. | Past | 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.
-
dba Sensational Kids, PLLC
- Early Intervention Provider Agency
- Waverly, NY
- NPI 1730310582
-
dba Arc of Chemung-Schuyler
- Developmental Disabilities Clinic/Center
- Elmira, NY
- NPI 1174146401
-
- Developmental Disabilities Clinic/Center
- Elmira, NY
- NPI 1306901608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603411200000",
"number": "1861698235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 FRONT ST STE 1",
"city": "OWEGO",
"state": "NY",
"postal_code": "138272536",
"telephone_number": "607-948-4047",
"fax_number": "607-687-1209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 FRONT ST",
"address_2": "STE 1",
"city": "OWEGO",
"state": "NY",
"postal_code": "138272536",
"telephone_number": "607-948-4047",
"fax_number": "707-687-1209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREIS",
"first_name": "KRISTIE",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-22",
"last_updated": "2020-10-23",
"certification_date": "2020-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "023247-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owego, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.