Active NPI
Randi V Kass, DPT
- Physical Therapist
- West Des Moines, IA
National Provider Identifier
1033858337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 114150
- Practice address
- 1300 50TH St Ste 102
West Des Moines, IA 50266-5499 - Phone
- (515) 882-0800
- Fax
- (515) 462-0281
- NPI assigned
- Jun 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 114150 | IA | Primary |
Addresses
Primary practice location
1300 50TH St Ste 102
West Des Moines, IA 50266-5499
Mailing address
2614 Beaver Ave
Des Moines, IA 50310-3908
Phone (515) 255-3932
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114150 | IA | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654214400000",
"number": "1033858337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2614 BEAVER AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503103908",
"telephone_number": "515-255-3932",
"fax_number": "515-462-0281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 50TH ST STE 102",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502665499",
"telephone_number": "515-882-0800",
"fax_number": "515-462-0281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASS",
"first_name": "RANDI",
"middle_name": "V",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-03",
"last_updated": "2022-06-03",
"certification_date": "2022-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "IA",
"license": "114150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.