Cynthia L. Rieck, PT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1982 Issued in MN

Practice address

31170 Goverment Dr
Pequot Lakes, MN 56472-1001

Phone

(218) 568-5666

Fax

(218) 568-5466

NPI assigned

Feb 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114054863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31170 GOVERMENT DR",
            "address_2": "PO BOX 331",
            "city": "PEQUOT LAKES",
            "state": "MN",
            "postal_code": "564721001",
            "telephone_number": "218-568-5666",
            "fax_number": "218-568-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31170 GOVERMENT DR",
            "city": "PEQUOT LAKES",
            "state": "MN",
            "postal_code": "564721001",
            "telephone_number": "218-568-5666",
            "fax_number": "218-568-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIECK",
        "first_name": "CYNTHIA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MN",
            "license": "1982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pequot Lakes Chiropractic and Sports Injury Center P.a
• Pequot Lakes Chiropractic PA
• Pequot Lakes Physical Therapy Services, Inc
• Erin Person-Witt
• Scott Kermit Peterson, RN
• Deborah A Rudningen, LPC, LADC
• Angela Sandelin
• Select Therapy, Inc.
• Select Therapy, Inc.
• Senior Class Care of Pequot Lakes, Inc.

• Physical Therapy Clinic/Center in Pequot Lakes, MN
• Providers in Pequot Lakes, MN by specialty
• Physical Therapy Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.