Individual provider Active NPI

Kristen Haugh, PT

  • Physical Therapist
  • Norton Shores, MI
National Provider Identifier
1972847135
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501016073 Issued in MI
Practice address
5251 Harvey St Ste 100
Norton Shores, MI 49444
Phone
(231) 769-0695
NPI assigned
Nov 12, 2012
Last updated
Aug 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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 NU
Physical Therapist 225100000X 5501016073 MI Primary

Addresses

Primary practice location

5251 Harvey St Ste 100
Norton Shores, MI 49444

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Other practice location 1

939 Burlington Ave
Downers Grove, IL 60515-4716
Phone (630) 963-8505

Other names 1

  • Kristen Garlough Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180821003407 MI Practitioner - Physical Therapist in Private Practice 5395981534 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advent Rehabilitation, LLCGroup PAC ID 9537070545, 57 clinicians

Practice addresses (Care Compare)

3380 44TH St SW
Grandville, MI 49418-2461
Phone (616) 233-3591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501016073MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Home Connection Therapy LLC Physical Therapist CurrentSince Jun 26, 2023 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince Aug 14, 2018 Accepting new patients
Advent Rehabilitation, LLC Physical Therapist CurrentSince Jul 17, 2022 Accepting new patients
Alliance Physical Therapy Group LLC Physical Therapist CurrentSince Mar 1, 2020 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince Aug 14, 2018 Accepting new patients
Advent Rehabilitation, LLC Physical Therapist CurrentSince Jul 17, 2022 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

6745 Fulton St E
Ste D
Ada, MI 49301
Phone (616) 274-1014

5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710

2373 64th St SW
Ste 2100
Byron Center, MI 49315
Phone (616) 235-3970

10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200

202 E Van Riper Rd
Ste 200
Fowlerville, MI 48836
Phone (517) 223-2100

1471 E Beltline Ave NE
Ste 104
Grand Rapids, MI 49525
Phone (616) 233-3596

150 Jefferson Ave SE
Ste 100
Grand Rapids, MI 49503
Phone (616) 284-3690

607 Dewey Ave NW
Ste 300
Grand Rapids, MI 49504
Phone (253) 332-3398

3380 44th St SW
Grandville, MI 49418
Phone (616) 685-8250

601 Michigan Ave
Ste 220
Holland, MI 49423
Phone (616) 355-4284

3686 32nd Ave
Ste 400
Hudsonville, MI 49426
Phone (616) 377-1010

5251 Harvey St
Ste 100
Norton Shores, MI 49444
Phone (231) 246-4379

1175 Wilson Ave NW
Walker, MI 49534
Phone (616) 284-3686

Organizations & group practices 6

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": "1352678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1972847135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5251 HARVEY ST STE 100",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "49444",
            "telephone_number": "231-769-0695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "939 Burlington Ave",
            "address_purpose": "LOCATION",
            "city": "Downers Grove",
            "state": "IL",
            "postal_code": "605154716",
            "country_code": "US",
            "telephone_number": "630-963-8505",
            "fax_number": "630-963-8495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAUGH",
        "first_name": "KRISTEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-12",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "GARLOUGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norton Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.