Individual provider Active NPI

Kirsten L Kockler, DPT

  • Physical Therapist
  • Garner, IA
National Provider Identifier
1972952786
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
083101 Issued in IA
Practice address
720 W US Highway 18 Ste B
Garner, IA 50438-1022
Phone
(641) 924-0205
Fax
(641) 924-0207
NPI assigned
Jun 13, 2016
Last updated
Feb 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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 083101 IA Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

720 W US Highway 18 Ste B
Garner, IA 50438-1022

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6200

Other names 1

  • Kirsten L Nickel Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160805000108 IA Practitioner - Physical Therapist in Private Practice 4284928847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

3252 Ridge PT
Bettendorf, IA 52722-5312
Phone (563) 332-4995

7 S 8TH St
Suite C Athletico Physical Therapy
Clear Lake, IA 50428-1927
Phone (641) 357-1003

720 W US Hwy 18
Suite B Athletico Physical Therapy
Garner, IA 50438-1022
Phone (641) 924-0205

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Multi-Specialty CurrentSince Apr 1, 2019 Accepting new patients
Athletico LTD Multi-Specialty CurrentSince Apr 1, 2019 Accepting new patients

Locations

3252 Ridge Pt
Bettendorf, IA 52722
Phone (563) 332-4995

2918 E University Ave
Des Moines, IA 50317
Phone (515) 265-8272

605 E J St
Ste 200
Forest City, IA 50436
Phone (641) 585-1550

720 W US Highway 18
Ste B
Garner, IA 50438
Phone (641) 924-0205

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

625 Enterprise Dr
Oak Brook, IL 60523
Phone (630) 575-6250

Organizations & group practices 2

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": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1972952786",
    "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",
            "telephone_number": "630-575-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W US HIGHWAY 18 STE B",
            "city": "GARNER",
            "state": "IA",
            "postal_code": "504381022",
            "telephone_number": "641-924-0205",
            "fax_number": "641-924-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCKLER",
        "first_name": "KIRSTEN",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "083101",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTEN",
            "last_name": "NICKEL",
            "middle_name": "L",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Garner, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.