Kristen P Tenholder, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2007018042 Issued in MO

Practice address

790 N Hwy 67
Florissant, MO 63031-5108

Phone

(314) 972-1442

Fax

(314) 972-1533

NPI assigned

Jun 14, 2007

Last updated

Jun 12, 2012By 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

Other names 1

• Kristen Patricia Wargin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Reliant Care Rehabilitative Services L L C

  • Physical Therapy Clinic/Center
  • Columbia, MO
  • NPI 1902188287
  NPD (past)

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1952505661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 BELLSWORTH DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631253603",
            "telephone_number": "314-913-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 N HWY 67",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630315108",
            "telephone_number": "314-972-1442",
            "fax_number": "314-972-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENHOLDER",
        "first_name": "KRISTEN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2007018042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "WARGIN",
            "middle_name": "PATRICIA",
            "credential": "PT, DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kaitlyn Tebeau
• Annette Marie Templeton
• Ten Thirteen Home Care Service, LLC
• Tender Hands Home Healthcare, LLC
• Tender Moments Consumer Directd Services LLC
• Terrance on Call Services LLC
• Carla Territo
• Brit'Nee Terry
• Shanae Christine Terry
• Christine Ann Testa, ANP

• Physical Therapist in Florissant, MO
• Providers in Florissant, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.