Individual provider Active NPI

Kristyn M Schlenker, PT

  • Physical Therapist
  • Livermore, CA
National Provider Identifier
1942371109
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 32790 Issued in CA
Practice address
87 Fenton St
Suite 106
Livermore, CA 94550-4100
Phone
(925) 373-9394
Fax
(925) 373-2876
NPI assigned
Nov 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT9842 WA
Physical Therapist 225100000X PT 32790 CA Primary

Addresses

Primary practice location

87 Fenton St
Suite 106
Livermore, CA 94550-4100

Mailing address

87 Fenton St
Suite 106
Livermore, CA 94550-4100
Phone (925) 373-9394

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
PT 32790CAMDPhysical Therapist
PT9842WAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1942371109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 FENTON ST",
            "address_2": "SUITE 106",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504100",
            "telephone_number": "925-373-9394",
            "fax_number": "925-373-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 FENTON ST",
            "address_2": "SUITE 106",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504100",
            "telephone_number": "925-373-9394",
            "fax_number": "925-373-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLENKER",
        "first_name": "KRISTYN",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT9842",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 32790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.