Organization Active NPI

Desita Care

  • Physical Therapist
  • Saint Paul, MN
National Provider Identifier
1053885822
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DESITA CARE
Practice address
333 Grand Ave Ste 103
Saint Paul, MN 55102-2584
Phone
(651) 294-2316
Fax
(651) 460-9193
NPI assigned
Jan 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Authorized official

Name
Kristy Setnes
Title
Owner
Phone
(651) 294-2316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

333 Grand Ave Ste 103
Saint Paul, MN 55102-2584

Mailing address

333 Grand Ave Ste 103
Saint Paul, MN 55102-2584
Phone (651) 294-2316

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1053885822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 GRAND AVE STE 103",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022584",
            "telephone_number": "651-294-2316",
            "fax_number": "651-460-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GRAND AVE STE 103",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022584",
            "telephone_number": "651-294-2316",
            "fax_number": "651-460-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESITA CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "SETNES",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-294-2316"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.