Individual provider Active NPI

Kristie A Kreis, PT

  • Physical Therapist
  • Owego, NY
National Provider Identifier
1861698235
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
023247-1 Issued in NY
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

Updated by the provider on Oct 23, 2020

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 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

LicenseStateTypeSpecialty
023247-1NYMDPhysical Therapist
023247NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.