Kristin N Carl

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

5501019442 Issued in MI

Practice address

15959 Hall Rd Ste 410
Macomb, MI 48044-5365

Phone

(586) 416-6290

Fax

(586) 416-6295

NPI assigned

Jan 21, 2020

Last updated

Jan 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

• William Beaumont Hospital

  dba Beaumont Hospital, Grosse Pointe

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  NPD (past)

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1891325684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13347 NADINE AVE",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701422",
            "telephone_number": "586-854-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15959 HALL RD STE 410",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480445365",
            "telephone_number": "586-416-6290",
            "fax_number": "586-416-6295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1455 S Lapeer Rd Ste 123",
            "address_purpose": "LOCATION",
            "city": "Lake Orion",
            "state": "MI",
            "postal_code": "483601468",
            "country_code": "US",
            "telephone_number": "248-656-4330",
            "fax_number": "248-656-4331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARL",
        "first_name": "KRISTIN",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MI",
            "license": "5501019442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javanna Camaj, CRNA
• Cambridge Dentistry
• Lisa Virginia Cameron, NP-C
• Emily Campbell
• Marco Anthony Capizzi, PA-C
• Kristina Marie Carlson, LLPC
• Rachel Elizabeth Casali, FNP-BC
• Renee Lindahl Catrambone, MD
• Kimberly Caufield, SLP
• Lourin N Chahin, MD

• Pediatric Physical Therapist in Macomb, MI
• Providers in Macomb, MI by specialty
• Pediatric Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.