Kristen Sue Lee, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10889 Issued in MN

Practice address

724 Maple Grove Rd
Duluth, MN 55811-4521

Phone

(218) 279-4209

Fax

(605) 541-0109

NPI assigned

Jun 2, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kristen Sue Wendt Former name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Lake View Memorial Hospital, Inc

  • Critical Access Hospital
  • Two Harbors, MN
  • NPI 1023067642
  Medicare reassignment NPD
• St. Luke'S Hospital of Duluth

  • Rehabilitation Hospital Unit
  • Duluth, MN
  • NPI 1902845068
  Medicare reassignment
• Lake View Clinic

  • Family Medicine Physician
  • Two Harbors, MN
  • NPI 1548420037
  NPD
• Lake View Memorial Hospital, Inc.

  • Certified Registered Nurse Anesthetist
  • Two Harbors, MN
  • NPI 1992512701
  NPD
• St. Luke'S Hospital of Duluth

  • Family Medicine Physician
  • Virginia, MN
  • NPI 1063464154
  NPD
• St. Luke'S Hospital of Duluth

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Duluth, MN
  • NPI 1073480968
  NPD

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1053849026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CROSS ST",
            "city": "BIG STONE CITY",
            "state": "SD",
            "postal_code": "572168237",
            "telephone_number": "605-541-1140",
            "fax_number": "605-541-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 MAPLE GROVE RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558114521",
            "telephone_number": "218-279-4209",
            "fax_number": "605-541-0109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Orchard Dr",
            "address_purpose": "LOCATION",
            "city": "Sisseton",
            "state": "SD",
            "postal_code": "572622312",
            "country_code": "US",
            "telephone_number": "605-698-4645",
            "fax_number": "605-698-4613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "KRISTEN",
        "middle_name": "SUE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SD",
            "license": "1994",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "10889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "WENDT",
            "middle_name": "SUE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Jane Lebens
• Michelle Leblanc, MA-CCC-SLP
• Bobby L Leduff II, PHARMD
• David G. Lee, MA, LP, LMFT, LICSW
• Jared Wayne Lee, RN, CRNA
• Lindsey Marie Lee, LICSW
• Mona Marie Lee, PTA
• Taylor Lee Leege
• Robert Dana Leff
• Arthur Legg, M.D.

• Physical Therapist in Duluth, MN
• Providers in Duluth, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.