Kristen Nadia Coughlan
Physical Therapist in Menomonee Falls, WI. Individual provider (NPI-1).
NPI number1124909965
StatusActive
Last updated in NPPESSep 9, 2025
Details
- NPI
- 1124909965
- Entity type
- Individual (NPI-1)
- Name
- Kristen Nadia Coughlan
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 9, 2025
- Certification date
- Sep 9, 2025
- Last updated
- Sep 9, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 16852-24 | WI | Yes |
Practice location
W180n8085 Town Hall RdMenomonee Falls, WI 53051-3518
Phone 262-251-1000
Mailing address
4303 W Woodale AveMilwaukee, WI 53223-4460
Phone 847-323-8757
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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