Organization Active NPI

Kandor Physical Therapy & Pelvic Health LLC

  • Physical Therapy Clinic/Center
  • Chanhassen, MN
National Provider Identifier
1114885357
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
KANDOR PHYSICAL THERAPY & PELVIC HEALTH LLC
Practice address
8951 Crossroads Blvd Ste 213
Chanhassen, MN 55317-7001
Phone
(952) 395-7461
Fax
(952) 693-0630
NPI assigned
Jan 15, 2026
Last updated
Jan 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
Dr. Kelsey Nowak, PT, DPT, PRPCNPI 1134526650
Title
Physical Therapist, Owner
Phone
(952) 395-7461

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

8951 Crossroads Blvd Ste 213
Chanhassen, MN 55317-7001

Mailing address

1219 Sugarbush LN
Waconia, MN 55387-1248
Phone (952) 395-7461

National Provider Directory

National Provider Directory

Locations

8951 Crossroads Blvd
Ste 213
Chanhassen, MN 55317
Phone (952) 395-7461

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1768435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1114885357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 SUGARBUSH LN",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871248",
            "telephone_number": "952-395-7461",
            "fax_number": "952-693-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8951 CROSSROADS BLVD STE 213",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553177001",
            "telephone_number": "952-395-7461",
            "fax_number": "952-693-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANDOR PHYSICAL THERAPY & PELVIC HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "NOWAK",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "952-395-7461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, PRPC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chanhassen, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.