Active NPI
Rebekah Richter, DPT
- Physical Therapist
- Lake City, MN
National Provider Identifier
1124638341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11895
- Practice address
- 500 W Grant St
Lake City, MN 55041-1143 - Phone
- (651) 345-1129
- NPI assigned
- Aug 3, 2020
- Sex
- Female
- 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 | 11895 | MN | Primary |
Addresses
Primary practice location
500 W Grant St
Lake City, MN 55041-1143
Mailing address
500 W Grant St
Lake City, MN 55041-1143
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://mayoclinichealthsystem.org/locations/lake-city |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11895 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596412800000",
"number": "1124638341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W GRANT ST",
"city": "LAKE CITY",
"state": "MN",
"postal_code": "550411143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W GRANT ST",
"city": "LAKE CITY",
"state": "MN",
"postal_code": "550411143",
"telephone_number": "651-345-1129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHTER",
"first_name": "REBEKAH",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-03",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "11895",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://mayoclinichealthsystem.org/locations/lake-city",
"affiliation": "N",
"address_1": "500 W Grant St",
"city": "Lake City",
"state": "MN",
"country_code": "US",
"postal_code": "550411143",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lake City, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.