Kristin M Waughen, DPT | |
2725 Il Route 26 S Ste D, Freeport, IL 61032-9334 | |
(815) 235-1600 | |
(815) 556-1334 |
Full Name | Kristin M Waughen |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 9 Years |
Location | 2725 Il Route 26 S Ste D, Freeport, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598141160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070026607 (Illinois) | Primary |
225100000X | Physical Therapist | PT024544 (Pennsylvania) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Athletico Ltd | 4789602681 | 1963 |
Provider Name | Athletico Ltd |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20120612000342 |
Mailing Address | Practice Location Address |
---|---|
Kristin M Waughen, DPT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-6200 | Kristin M Waughen, DPT 2725 Il Route 26 S Ste D, Freeport, IL 61032-9334 Ph: (815) 235-1600 |
Madison E Pickard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 Fairway Dr, Freeport, IL 61032 Phone: 815-599-6340 Fax: 815-599-6748 | |
Carrie Mccormick, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1763 S Dirck Dr, Freeport, IL 61032 Phone: 815-233-5100 Fax: 815-235-2233 | |
Sally A Fisher, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1045 W Stephenson St, Freeport, IL 61032 Phone: 815-599-6000 | |
Pathway Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 640 W South St, Freeport, IL 61032 Phone: 815-235-2301 | |
Northern Illinois Physical Therapy Services Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1763 S Dirck Dr, Freeport, IL 61032 Phone: 815-233-5100 Fax: 815-235-2233 | |
Shawn Douglas Gorsline, PT DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1010 Fairway Dr, Freeport, IL 61032 Phone: 815-599-7126 | |
Jill E Carr, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1763 S Dirck Dr, Freeport, IL 61032 Phone: 815-233-5100 Fax: 815-235-2233 |