Individual provider Active NPI

Linda M Kristina, MPT

  • Physical Therapist
  • Gurnee, IL
National Provider Identifier
1972521771
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-015149 Issued in IL
Practice address
1655 Nations Dr
Gurnee, IL 60031-9178
Phone
(847) 782-9860
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070-015149 IL Primary
Physical Therapist 225100000X 05010429A IN
Physical Therapist 225100000X 70015149 IL

Addresses

Primary practice location

1655 Nations Dr
Gurnee, IL 60031-9178

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925

Other identifiers 1

IdentifierTypeStateIssuer
070015149OtherILLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060823000478 IL Practitioner - Physical Therapist in Private Practice 9638172125 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-015149ILMDPhysical Therapist
70015149ILMDPhysical Therapist
05010429AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ora Orthopedics, PC CurrentSince Oct 10, 2022 Accepting new patients
Ora Orthopedics PC CurrentSince Oct 10, 2022 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Jan 31, 2022 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Jan 31, 2022 Accepting new patients
Abc4Wellness, LTD. Past Accepting new patients
Accelerated Rehabilitation Centers LTD Physical Therapist Past Accepting new patients
Ora Orthopedics, PC Past Accepting new patients
Advanced Health & Physicians Physical Therapist Past Accepting new patients
Beyer Chiropractic Clinic SC Physical Therapist PastSince Apr 23, 2021 Accepting new patients
Metabolic Reset Weight Loss, S.C. PastSince Mar 1, 2022 Accepting new patients

Locations

2300 53rd Ave
Ste 100
Bettendorf, IA 52722
Phone (563) 459-4005

2300 53rd Ave
Ste LL04
Bettendorf, IA 52722

19801 Governors Hwy
Ste 100
Flossmoor, IL 60422
Phone (708) 647-1500

1655 Nations Dr
Gurnee, IL 60031
Phone (847) 244-7688

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

510 Valley View Dr
Moline, IL 61265
Phone (309) 762-3621

520 Valley View Dr
Moline, IL 61265
Phone (309) 762-1952

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

3229 Broadway
Gary, IN 46409
Phone (219) 326-2324

Interoperability endpoints

  • Direct secure messaging: linda.kristina.p9@direct.athleticoltd.nextgenshare.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1972521771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 NATIONS DR",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600319178",
            "telephone_number": "847-782-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISTINA",
        "first_name": "LINDA",
        "middle_name": "M",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-015149",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05010429A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "70015149",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "070015149",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.