Active NPI
Katelyn Darnell
- Physical Therapist
- Minneapolis, MN
National Provider Identifier
1164057642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11366
- Practice address
- 2600 39TH Ave NE Ste 220
Minneapolis, MN 55421-5052 - Phone
- (612) 672-7100
- NPI assigned
- Mar 5, 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 | 11366 | MN | Primary |
Addresses
Primary practice location
2600 39TH Ave NE Ste 220
Minneapolis, MN 55421-5052
Mailing address
2600 39TH Ave NE Ste 220
Minneapolis, MN 55421-5052
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583712000000",
"number": "1164057642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 39TH AVE NE STE 220",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554215052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 39TH AVE NE STE 220",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554215052",
"telephone_number": "612-672-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARNELL",
"first_name": "KATELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-05",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "11366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.