Individual provider Active NPI

Kayla R Lambrecht, PT, DPT

  • Physical Therapist
  • Minot, ND
National Provider Identifier
1033404546
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1650 Issued in ND
Practice address
2111 Landmark Cir NW # B
Minot, ND 58703
Phone
(701) 839-4102
NPI assigned
Jun 13, 2011
Last updated
Mar 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1650 ND Primary

Addresses

Primary practice location

2111 Landmark Cir NW # B
Minot, ND 58703

Mailing address

2111 Landmark Cir NW Ste B
Minot, ND 58703-1967
Phone (701) 839-4102

Other practice location 1

2700 8th St NW
Minot, ND 58703-0652
Phone (701) 839-4102

Other practice location 2

2700 8th St NW
Minot, ND 58703-0652
Phone (701) 839-4102

Other names 1

  • Kayla R Hansen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140121001493 ND Practitioner - Physical Therapist in Private Practice 7810125804 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physical Therapy, Inc Physical Therapist CurrentSince Oct 22, 2013 Accepting new patients
360 Physical Therapy Physical Therapist CurrentSince Aug 1, 2021 Accepting new patients

Locations

2111 Landmark Cir NW
Ste B
Minot, ND 58703
Phone (701) 839-4102

2700 8th St NW
Minot, ND 58703
Phone (701) 839-4102

2900 10th St SW
Ste A
Minot, ND 58701
Phone (701) 839-4102

400 S Broadway
Ste B
Minot, ND 58701
Phone (406) 522-7488

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1033404546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 LANDMARK CIR NW STE B",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587031967",
            "telephone_number": "701-839-4102",
            "fax_number": "701-838-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 LANDMARK CIR NW # B",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "58703",
            "telephone_number": "701-839-4102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 8th St NW",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587030652",
            "country_code": "US",
            "telephone_number": "701-839-4102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 8th St NW",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587030652",
            "country_code": "US",
            "telephone_number": "701-839-4102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMBRECHT",
        "first_name": "KAYLA",
        "middle_name": "R",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "HANSEN",
            "middle_name": "R",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.