Individual provider Active NPI

Kristin M Leone, PT

  • Physical Therapist
  • Quincy, IL
National Provider Identifier
1972891158
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070018522 Issued in IL
Practice address
3032 Broadway
Quincy, IL 62301
Phone
(217) 222-6800
Fax
(217) 222-0037
NPI assigned
Jul 21, 2011
Last updated
Feb 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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 070018522 IL Primary
Physical Therapist 225100000X 2011031144 MO

Addresses

Primary practice location

3032 Broadway
Quincy, IL 62301

Mailing address

3032 Broadway St
Quincy, IL 62301-3708
Phone (217) 222-6800

Other names 1

  • Kristin M Allen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110907001348 IL Practitioner - Physical Therapist in Private Practice 1254501927 Reassigns benefits to 2 organizations
I20120223000600 MO Practitioner - Physical Therapist in Private Practice 1254501927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

188 Medical Dr
Suite a
Hannibal, MO 63401-6877
Phone (573) 406-0576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070018522ILMDPhysical Therapist
2011031144MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Hannibal Regional Hospital, LLC Physical Therapist CurrentSince Mar 4, 2013 Accepting new patients
Advance Physical Therapy & Sports Medicine of Adams County LLC CurrentSince Aug 1, 2011 Accepting new patients
Advance Hannibal Regional Hospital LLC Physical Therapist CurrentSince Mar 4, 2013 Accepting new patients
Advance Physical Therapy & Sports Medicine of Adams County LLC Physical Therapist CurrentSince Aug 1, 2011 Accepting new patients
Advance Physical Therapy of Hancock County LLC Physical Therapist CurrentSince Aug 1, 2011 Accepting new patients
Advance Physical Therapy & Sports Medicine of Lewis County LLC Physical Therapist PastSince Aug 8, 2012 Accepting new patients
Advance PT Therapy of Hannibal LLC Physical Therapist PastSince Aug 8, 2012 Accepting new patients
Advance Physical Therapy & Sports Medicine LLC Physical Therapist Past Accepting new patients

Locations

1452 N County Road 2050 E
Carthage, IL 62321
Phone (217) 357-9000

3032 Broadway St
Quincy, IL 62301
Phone (217) 617-3412

4800 Maine St
Ste 48100
Quincy, IL 62305
Phone (218) 316-2937

927 Broadway St
Ste 100
Quincy, IL 62301
Phone (217) 222-9300

1100 E Outer Rd S
Ste 1
Canton, MO 63435
Phone (573) 288-3311

1804 Elm St
Canton, MO 63435
Phone (573) 288-3311

160 Progress Rd
#111
Hannibal, MO 63401

188 Medical Dr
#A
Hannibal, MO 63401
Phone (573) 406-0576

Organizations & group practices 8

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": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1972891158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3032 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013708",
            "telephone_number": "217-222-6800",
            "fax_number": "217-222-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3032 BROADWAY",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "62301",
            "telephone_number": "217-222-6800",
            "fax_number": "217-222-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONE",
        "first_name": "KRISTIN",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070018522",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2011031144",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "ALLEN",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.