DR. KRISTEN LYN WADE (NPI# 1396084653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396084653 |
| Entity Type | Individual |
| Full Name | DR. KRISTEN LYN WADE |
| Credential | P.T. |
| Practice Address |
2921 Greenbriar Dr Suite B Springfield IL 62704-6421 |
| Practice Telephone | 2175463301 |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2013-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 070015410 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700418266 | Kristen Wren Wade | Social Worker | 31 6th St, Malone, NY 12953-1246 | 2020-02-12 |
| 1447491618 | Kristen Wade | Case Manager/Care Coordinator | 6701 Highway 67 Bldg 4, Benton, AR 72015-8909 | 2009-03-17 |
| Street Address |
2921 GREENBRIAR DR SUITE B |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62704-6421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225024136 | Patricia Reichart | Nurse Practitioner | 2921 Greenbriar Dr, Ste C, Springfield, IL 62704 | 2005-09-26 |
| 1194128389 | Cheryl Lee Affrunti | Psychologist | 2921 Greenbriar Dr, Ste. B-1, Springfield, IL 62704-6421 | 2014-10-01 |
| 1639447295 | Darrell B Simmermaker | Physical Therapy Assistant | 2921 Greenbriar Dr, Suite B, Springfield, IL 62704-6421 | 2011-12-09 |
| 1386923043 | Laurie Ann Salvacion | Physical Therapist | 2921 Greenbriar Dr, Suite B, Springfield, IL 62704-6421 | 2011-08-12 |
| 1235421603 | Craig A Backs Md LLC | Internal Medicine | 2921 Greenbriar Dr, Suite C, Springfield, IL 62704-6421 | 2011-05-04 |
| 1629200548 | Bradley M. Blevins | Physical Therapy Assistant | 2921 Greenbriar Dr, Suite B-2, Springfield, IL 62704-6421 | 2009-08-11 |
| 1801957055 | Physiotherapy Professionals LLC | Physical Therapist | 2921 Greenbriar Dr, Suite B-2, Springfield, IL 62704-6421 | 2006-12-12 |
| 1124043252 | Craig A Backs | Internal Medicine | 2921 Greenbriar Dr, Springfield, IL 62704-6421 | 2006-07-12 |
| 1548212145 | Richard E Dimond | Psychologist | 2921 Greenbriar Dr, Suite B-1, Springfield, IL 62704-6425 | 2006-05-16 |
| 1841242450 | Keith L. Buescher | Psychologist | 2921 Greenbriar Dr, Suite B-1, Springfield, IL 62704-6425 | 2006-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902394901 | Hillary Haaker | Occupational Therapist | 2035 W Iles, Suite C, Springfield, ID 62704 | 2018-04-25 |
| 1871095364 | Edward Doyle Slifer Sr. | Pathology | 2117 Greenside Drive, Spring Field, IL 62704 | 2018-03-01 |
| 1598263345 | Santarelli & Feller Dental Group | Dentist | 1140 Rickard Road, Suite B, Springfield, IL 62704 | 2018-01-26 |
| 1447774757 | Lisa Ann Rogers | Developmental Therapist | 2101 Lexington Dr, Apt 3, Springfield, IL 62704 | 2017-07-28 |
| 1730611286 | Mindi Rowe | Occupational Therapist | 2508 County Rd 4 1/2 E, Springfield, IL 62704 | 2017-04-03 |
| 1366992208 | Jayme Jordan | Contractor | 2409 Westchester Blvd, Springfield, IL 62704 | 2016-10-04 |
| 1154793974 | Dina Payne | Social Worker | 917 Clocktower Drive, Suite 600, Springfield, IL 62704 | 2015-10-21 |
| 1770959819 | James R Reynolds | Hearing Instrument Specialist | 2347 W Monroe St, Springfield, IL 62704 | 2015-08-12 |
| 1336576495 | Emily Jane Dungey | Counselor | 920 S Spring St Ste 1300, Springfield, IL 62704 | 2013-10-03 |
| 1942552161 | Jeannie Marie Hundley | Specialist/Technologist, Other | 2921 Monvale Drive, Springfield, IL 62704 | 2012-10-11 |
| Find all providers in zip 62704 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859376 | Results-ast Jv, LLC | Physical Therapist | 3556 Tom Austin Highway, Suite 2, Springfield, TN 37172 | 2020-10-21 |
| 1750989976 | John Churan | Physical Therapist | 8704 Morrissette Dr, Springfield, VA 22152-1079 | 2020-10-09 |
| 1740896810 | Titus Wade | Physical Therapist | 719 S Main St Ste 104, Springfield, TN 37172-2809 | 2020-09-23 |
| 1922610427 | Jenae Annette Rankin | Physical Therapist | Intelligent Therapy, 719 South Main Street, Springfield, TN 37172 | 2020-08-18 |
| 1174140214 | Samantha Maria Puller | Physical Therapist | 8348 Traford Lane Suite 200, Springfield, VA 22152 | 2020-07-05 |
| 1043839806 | Tamra Holmes Standage | Physical Therapist | 2900 S National Ave Ste A, Springfield, MO 65804-3634 | 2020-04-13 |
| 1982238978 | Cyril Sanciangco | Physical Therapist | 90 Kew Dr, Springfield, NJ 07081-2505 | 2020-02-27 |
| 1821636416 | George Gamble | Physical Therapist | 85 Duncan Ln, Springfield, PA 19064-1601 | 2019-12-14 |
| 1730741919 | Rachel Annelise Boynton | Physical Therapist | 348 Cooley St Unit 10, Springfield, MA 01128-1144 | 2019-07-08 |
| 1407414865 | Austin Doh | Physical Therapist | 5501 Backlick Rd Ste 118, Springfield, VA 22151-3940 | 2019-05-31 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62704 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.