Kristina Bergan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1938 Issued in SD

Practice address

315 Oxford St
Worthington, MN 56187-1601

Phone

(507) 372-2232

NPI assigned

Mar 16, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristina Goldstine Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Prairie Rehabilitation Services, Inc.

  • Physical Therapist
  • Worthington, MN
  • NPI 1245959105
  NPD
• Prairie Rehabilitation Services, Inc.

  • Physical Therapist
  • Sioux Falls, SD
  • NPI 1902892409
  NPD (past)

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1093256570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 S CLIFF AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052129",
            "telephone_number": "605-334-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 OXFORD ST",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561871601",
            "telephone_number": "507-372-2232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720 S Cliff Ave",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571052129",
            "country_code": "US",
            "telephone_number": "605-334-5630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGAN",
        "first_name": "KRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-16",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "GOLDSTINE",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bassel Bardan, MD
• Maria Del Rosario Barrera
• Karl W Beesch, MD
• Malea Beeson Stoesz
• Debra Kay Behrends, APRN CFPN
• Archana S Bhat, M.D.
• Bennen Bierman
• Charles R Bigelow, PT
• Molly Carrigg Greene Bishop, MT-BC
• Shelby Lynn Black, CNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.