Active NPI
Kip Thorstenson
- Physical Therapist
- Argyle, MN
National Provider Identifier
1104295203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9958
- Practice address
- 111 W 5TH St
Argyle, MN 56713-4002 - Phone
- (701) 741-5549
- NPI assigned
- Sep 18, 2015
- Sex
- Male
- Sole proprietor
- No
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 | 9958 | MN | Primary |
Addresses
Primary practice location
111 W 5TH St
Argyle, MN 56713-4002
Mailing address
111 W 5TH St
Argyle, MN 56713-4002
Phone (701) 741-5549
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442534400000",
"number": "1104295203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 W 5TH ST",
"city": "ARGYLE",
"state": "MN",
"postal_code": "567134002",
"telephone_number": "701-741-5549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W 5TH ST",
"city": "ARGYLE",
"state": "MN",
"postal_code": "567134002",
"telephone_number": "701-741-5549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORSTENSON",
"first_name": "KIP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-18",
"last_updated": "2015-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "9958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Argyle, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.