Individual provider Active NPI

Cassandra Marie Krummel, PT

  • Physical Therapist
  • Storm Lake, IA
National Provider Identifier
1114570454
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
095231 Issued in IA
Practice address
111 Sale Barn Rd
Storm Lake, IA 50588-7341
Phone
(712) 213-1500
Fax
(712) 213-1502
NPI assigned
Jul 16, 2019
Last updated
Jul 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 095231 IA Primary

Addresses

Primary practice location

111 Sale Barn Rd
Storm Lake, IA 50588-7341

Mailing address

111 Sale Barn Rd Ste 3
Storm Lake, IA 50588-7341
Phone (712) 213-1500

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
095231IAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1114570454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SALE BARN RD STE 3",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505887341",
            "telephone_number": "712-213-1500",
            "fax_number": "712-213-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SALE BARN RD",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505887341",
            "telephone_number": "712-213-1500",
            "fax_number": "712-213-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUMMEL",
        "first_name": "CASSANDRA",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "095231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Storm Lake, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.