Kristin Diane Wodzinski Andreae, MS, PT
NPI 1205966165ActiveIndividual· Physical Therapist· Marquette, MI
Physical Therapist (MS, PT) with Superior Active Partners LLC, practicing in Marquette, Michigan. Medicare paid $10,316 for services to 19 patients in 2024.
Overview
| NPI | 1205966165 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, PT |
| Sole proprietor | No |
| NPI issued | Mar 7, 2007 |
| Last updated in NPPES | Jun 2, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 5501011205 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 19 |
|---|---|
| Services billed | 513 across 10 procedure codes |
| Paid by Medicare | $10,316 |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Superior Active Partners LLCIshpeming, MI · 10 clinicians
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