James Herman Rakow, AT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1165 Issued in MN

Practice address

775 Prairie Center Dr
Suite 250
Eden Prairie, MN 55344-7314

Phone

(952) 944-2519

Fax

(952) 944-0460

NPI assigned

Jul 18, 2006

Sex

Male

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)

Not enrolled

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154349918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6465 WAYZATA BLVD",
            "address_2": "SUITE 900",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554261728",
            "telephone_number": "952-512-5600",
            "fax_number": "952-512-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 PRAIRIE CENTER DR",
            "address_2": "SUITE 250",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447314",
            "telephone_number": "952-944-2519",
            "fax_number": "952-944-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKOW",
        "first_name": "JAMES",
        "middle_name": "HERMAN",
        "credential": "AT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "1165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Radach, CMT
• Sarah Radichel, D.C.
• Carly Ann Radoush
• Geoffrey D Raile, M.D.
• Brianne Grace Raiolo
• Priti Bachubhai Ram, MD
• Dawn N Ramaker
• Jeffrey Alan Ramquist, LMT, CMT
• Thomas Ratelle, DC
• Emily Anne Rath, PHARMD

• Athletic Trainer in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Athletic Trainer 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.