Kristine Ann Vukmir, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.023194 Issued in IL

Practice address

372 Bank Dr
McHenry, IL 60050-0506

Phone

(815) 344-1919

Fax

(815) 344-1963

NPI assigned

Aug 29, 2017

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

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crystal Lake Physical Therapy IncGroup PAC ID 1254636491, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Crystal Lake Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Crystal Lake, IL
  • NPI 1326404682

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Av360 LLC

  • Health Educator
  • Algonquin, IL
  • NPI 1013515501
  Medicare reassignment NPD

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503964800000",
    "number": "1902323967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 BANK DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600500506",
            "telephone_number": "815-344-1919",
            "fax_number": "815-344-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 BANK DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600500506",
            "telephone_number": "815-344-1919",
            "fax_number": "815-344-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUKMIR",
        "first_name": "KRISTINE",
        "middle_name": "ANN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2017-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.023194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Andrew Vorderer, LPC
• Balatripura Voruganti, M.D.
• Cassandra Terese Voss
• Caleb M Vosters, DC
• Melanie Aerial Vrasich
• Patricia Baker Wadsworth
• Maribeth Wadzinski
• Amanda Paige Wagner
• Courtenay Aine Wagner
• Samantha Leigh Wahlgren, MS, OTR/L

• Physical Therapist in McHenry, IL
• Providers in McHenry, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.