KRISTA L CARLSON DPT
NPI 1730705732
Physical Therapist in Rockford, IL


Quality Rating: 82.02 out of 100 score

NPI Status: Active since June 25, 2020

Contact Information

324 ROXBURY RD
ROCKFORD, IL
ZIP 61107
Phone: (815) 381-7322

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  • Individual
  • Female
  • Physical Therapist
  • Accepts Insurance

About KRISTA CARLSON

This page provides the complete NPI Profile along with additional information for Krista Carlson, a provider established in Rockford, Illinois with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1730705732 assigned on June 2020. The practitioner's primary taxonomy code is 225100000X with license number 070025089 (IL). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1730705732
Provider Name
KRISTA L CARLSON DPT
Gender
Female
Entity Type
Individual
Location Address
324 ROXBURY RD ROCKFORD, IL 61107
Location Phone
(815) 381-7322
Mailing Address
PO BOX 735263 CHICAGO, IL 60673
Is Sole Proprietor?
No
Enumeration Date
06-25-2020
Last Update Date
08-14-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
070025089
License State
IL
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
  • Blue Precision Bronze HMO? 205 - HMO
  • Blue Precision Bronze HMO? 701 - HMO
  • Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
  • Blue Precision Gold HMO? 207 - HMO
  • Blue Precision Gold HMO? 703 - HMO
  • Blue Precision Gold HMO? Standard - Rx Copays - HMO
  • Blue Precision Silver HMO? 206 - HMO
  • Blue Precision Silver HMO? 704 - HMO
  • Blue Precision Silver HMO? Standard - Select Rx Copays - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Evaluation for physical therapy, typically 20 minutes

An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.

This service was performed 44 times for 41 patients

Evaluation for physical therapy, typically 30 minutes

An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.

This service was performed 11 times for 11 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

This service was performed 148 times for 48 patients

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

This service was performed 1,128 times for 101 patients

Therapy procedure using manual technique, each 15 minutes

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

This service was performed 362 times for 65 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 82.02, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 82.02 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 88.52

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 97

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 54.05

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 54.05

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1730705732
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27601401076
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 1 + 4 + 0 + 1 + 0 + 7 + 6 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1730705732 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1841303377 NORMAN A HAGMAN M.D.
Individual
Orthopaedic Surgery324 ROXBURY RD
ROCKFORD, IL 61107
(815) 398-9491
1750497905 CAROL BITNER P.T.
Individual
Physical Therapist324 ROXBURY RD
ROCKFORD, IL 61107
(815) 398-9491
1316053291 AMY C. NAGEL P.T.
Individual
Physical Therapist324 ROXBURY RD
ROCKFORD, IL 61107
(815) 398-9491
1255440871MRS. MAUREEN ELIZABETH NICOLLS MSPT
Individual
Physical Therapist324 ROXBURY RD
ROCKFORD, IL 61107
(815) 398-9491
1952403347 COLLEEN M. FERGUSON O.T.
Individual
Occupational Therapist324 ROXBURY RD
ROCKFORD, IL 61107
(815) 398-9491
1063633048 TANYA C. LIBBY P.T.
Individual
Physical Therapist324 ROXBURY RD
ROCKFORD, IL 61107
(815) 398-9491
1952571796 MICHAEL R BRUEMMER PTA
Individual
Physical Therapy Assistant324 ROXBURY RD
ROCKFORD, IL 61107
(815) 398-9491
1083857924 CINDY L FEARN A.P.N.
Individual
Clinical Nurse Specialist (Occupational Health)324 ROXBURY RD
ROCKFORD, IL 61107
(815) 398-9491
1669601852MR. MARK ROBERT ROBINSON ATC, CSCS
Individual
Specialist/Technologist (Athletic Trainer)324 ROXBURY RD
ROCKFORD, IL 61107
(815) 398-9491
1801109301MR. JOHN T BRINKMANN CPO, LPO, FAAOP
Individual
Prosthetist324 ROXBURY RD
ROCKFORD, IL 61107
(815) 398-9491
1063472751 JIMMY L WALKER JR. PA-C
Individual
Physician Assistant (Surgical)324 ROXBURY RD
ROCKFORD, IL 61107
(815) 381-7431
1760776884DR. AMIE LEHMAN HARACZ D.P.M.
Individual
Podiatrist (Foot & Ankle Surgery)324 ROXBURY RD
ROCKFORD, IL 61107
(815) 381-7339
1053696971 CARLY ANNE JACKSON PA-C
Individual
Physician Assistant324 ROXBURY RD
ROCKFORD, IL 61107
(815) 398-9491
1740396647 KATHLEEN A. LARSON O.T.
Individual
Occupational Therapist324 ROXBURY RD
ROCKFORD, IL 61107
(815) 381-7431
1427164359 JENNIFER E. BETO O.T.
Individual
Occupational Therapist324 ROXBURY RD
ROCKFORD, IL 61107
(815) 381-7431
1639414956 ANDREW FLEMING PT
Individual
Physical Therapist324 ROXBURY RD
ROCKFORD, IL 61107
(815) 381-7431
1144649435 JENNIFER A PETERSEN O.T.R.
Individual
Occupational Therapist324 ROXBURY RD
ROCKFORD, IL 61107
(815) 381-7431
1124028287 RYAN R WESTERBERG PT
Individual
Physical Therapist (Orthopedic)324 ROXBURY RD
ROCKFORD, IL 61107
(815) 398-9491
1992726178MRS. LAURA ANN KARLS OT
Individual
Occupational Therapist324 ROXBURY RD
ROCKFORD, IL 61107
(815) 398-9491
1063527349 SEAN P MACKENZIE M.D.
Individual
Physical Medicine & Rehabilitation324 ROXBURY RD
ROCKFORD, IL 61107
(815) 398-9491

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730705732, enumerated in the NPI registry as an "individual" on June 25, 2020

The provider is located at 324 Roxbury Rd Rockford, Il 61107 and the phone number is (815) 381-7322

The provider's speciality is Physical Therapist with taxonomy code 225100000X

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

The most common procedures or services performed by this practitioner are: Evaluation for physical therapy, typically 20 minutes, Evaluation for physical therapy, typically 30 minutes, Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes, Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes and Therapy procedure using manual technique, each 15 minutes.

This NPI record was last updated on June 25, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.