Kristine Niestrom, PT in Willowbrook, IL - Medicare Physical Therapist Provider

Kristine Niestrom, PT is a medicare enrolled "Physical Therapist" provider in Willowbrook, Illinois. Her current practice location is 7191 S Kingery Hwy, Ste L6, Willowbrook, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 455-6630.

Kristine Niestrom is licensed to practice in Illinois (license number 070021763) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1497122212.

Contact Information

	Kristine Niestrom, PT
	7191 S Kingery Hwy, Ste L6, Willowbrook, IL 60527-5525
	(630) 455-6630
	(630) 455-6631

Map and Direction

Healthcare Provider's Profile

Full Name	Kristine Niestrom
Gender	Female
Speciality	Physical Therapist
Location	7191 S Kingery Hwy, Willowbrook, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497122212
Provider Enumeration Date: 08/27/2015
Last Update Date: 10/06/2016

Medicare PECOS Information:

PECOS PAC ID: 2264748532
Enrollment ID: I20150901001558

Medical Identifiers

Medical identifiers for Kristine Niestrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497122212	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	070021763 (Illinois)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristine Niestrom allows following entities to bill medicare on her behalf.

Provider Name	Athletic And Therapeutic Institute Of Naperville, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1023129681 PECOS PAC ID: 8325014020 Enrollment ID: O20040903000494

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristine Niestrom is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kristine Niestrom, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2223	Kristine Niestrom, PT 7191 S Kingery Hwy, Ste L6, Willowbrook, IL 60527-5525 Ph: (630) 455-6630

Reviews and Comments

Physical Therapist in Willowbrook, IL

Janice M Smith-white, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 66 W 63rd St, Willowbrook, IL 60527 Phone: 630-439-4661 Fax: 630-596-2455
Integrated Rehabilitation Approach Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 309 Ridgemoor Dr, Willowbrook, IL 60527 Phone: 312-315-6789
Mr. Hany Eskander, DPT, MS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6528 Cambridge Road, Willowbrook, IL 60527 Phone: 630-323-3226
Mr. Scott M Wirth, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 635 Executive Dr, Willowbrook, IL 60527 Phone: 630-455-6630 Fax: 630-455-6631
Jil-lyn M Tedford, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6705 Kingery Hwy, Willowbrook, IL 60527 Phone: 630-388-6700
Chad R Osborne, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7191 S Kingery Hwy, Suite L6, Willowbrook, IL 60527 Phone: 630-455-6630
Lisa Ridgeway, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6705 Kingery Hwy, Willowbrook, IL 60527 Phone: 630-388-6700 Fax: 630-388-6777

Kristine Niestrom, PT - Medicare Physical Therapist in Willowbrook, IL