Active NPI
Angela Kiriago, RPT
- Physical Therapist
- Coon Rapids, MN
National Provider Identifier
1184715906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7228
- Practice address
- 10160 Foley Blvd NW
Suite 120
Coon Rapids, MN 55448-5277 - Phone
- (763) 585-0700
- NPI assigned
- Sep 27, 2006
- 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 | 7228 | MN | Primary |
Addresses
Primary practice location
10160 Foley Blvd NW
Suite 120
Coon Rapids, MN 55448-5277
Mailing address
1375 Honeysuckle LN
Cambridge, MN 55008-1777
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 616055700 | Medicaid | MN | |
| HP69954 | Other | MN | HEALTH PARTNERS |
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": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407196800000",
"number": "1184715906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1375 HONEYSUCKLE LN",
"city": "CAMBRIDGE",
"state": "MN",
"postal_code": "550081777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10160 FOLEY BLVD NW",
"address_2": "SUITE 120",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554485277",
"telephone_number": "763-585-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRIAGO",
"first_name": "ANGELA",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2014-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "7228",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "616055700",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP69954",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coon Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.