Marla Elice Kersteen Kalfayan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10293-24 Issued in WI

Practice address

14545 Ridgemoor Dr
Elm Grove, WI 53122-1131

Phone

(262) 797-6909

NPI assigned

Jan 8, 2009

Last updated

Jan 8, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Marla Elice Kersteen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231372800000",
    "number": "1902043268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 RIDGEMOOR DR",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531221131",
            "telephone_number": "262-797-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 RIDGEMOOR DR",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531221131",
            "telephone_number": "262-797-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSTEEN KALFAYAN",
        "first_name": "MARLA",
        "middle_name": "ELICE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "10293-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLA",
            "last_name": "KERSTEEN",
            "middle_name": "ELICE",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapist in Elm Grove, WI
• Providers in Elm Grove, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.