Individual provider Active NPI

Kristin C Allen, P.T.

  • Physical Therapist
  • Sandusky, OH
National Provider Identifier
1962462770
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-5557 Issued in OH
Practice address
134 East Shoreline Drive
Sandusky, OH 44870
Phone
(419) 557-2019
Fax
(419) 433-5509
NPI assigned
Mar 24, 2006
Last updated
Feb 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 22 030 630 OH
Customized Equipment (DME) 332BC3200X 22 030 630 OH
Prosthetic/Orthotic Supplier 335E00000X PT -5557 OH
Physical Therapist 225100000X PT-5557 OH Primary

Addresses

Primary practice location

134 East Shoreline Drive
Sandusky, OH 44870

Mailing address

3317 Harvest Ridge Dr
Huron, OH 44839-1067
Phone (419) 557-2019

Other identifiers 3

IdentifierTypeStateIssuer
268 4877MedicaidOH
11550039OtherOHCAQH #
269 4679MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060814000466 OH Practitioner - Physical Therapist in Private Practice 9739182692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Cleveland Medical College, Homeopathic, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Pros LLCGroup PAC ID 5799199444, 2 clinicians

Practice addresses (Care Compare)

1212 Hull Rd
Unit F
Sandusky, OH 44870-7196
Phone (419) 602-2803

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-5557OHMDPhysical Therapist
22 030 630OHMDDurable Medical Equipment & Medical Supplies
PT -5557OHMDProsthetic/Orthotic Supplier

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Pros LLC Physical Therapist CurrentSince Feb 26, 2021 Accepting new patients
North Central Hand Rehabilitation, Inc Physical Therapist PastSince Mar 1, 1993 Accepting new patients
Ohio Integrative Physical Therapy & Wellness Physical Therapist PastSince Feb 6, 2022 Accepting new patients
Braces R US, Incorporated Physical Therapist PastSince Jun 28, 2006 Accepting new patients

Locations

1212 Hull Rd
Unit F
Sandusky, OH 44870
Phone (419) 602-2803

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1962462770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 HARVEST RIDGE DR",
            "city": "HURON",
            "state": "OH",
            "postal_code": "448391067",
            "telephone_number": "419-557-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 EAST SHORELINE DRIVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "44870",
            "telephone_number": "419-557-2019",
            "fax_number": "419-433-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "KRISTIN",
        "middle_name": "C",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "22 030 630",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "OH",
            "license": "22 030 630",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OH",
            "license": "PT -5557",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT-5557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268 4877",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH #",
            "identifier": "11550039",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269 4679",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.