Individual provider Active NPI

Kristen Spindler, P.T.

  • Physical Therapist
  • Faribault, MN
National Provider Identifier
1194028340
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8656 Issued in MN
Practice address
200 8TH Ave NW
Faribault, MN 55021-5068
Phone
(507) 334-5627
Fax
(507) 334-1824
NPI assigned
Dec 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8656 MN Primary

Addresses

Primary practice location

200 8TH Ave NW
Faribault, MN 55021-5068

Mailing address

200 8TH Ave NW
Faribault, MN 55021-5068
Phone (507) 334-5627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110718000437 MN Practitioner - Physical Therapist in Private Practice 7517135585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back in Action Rehab LLPGroup PAC ID 3678463098, 3 clinicians

Practice addresses (Care Compare)

1819 2ND Ave NW
Faribault, MN 55021-3035
Phone (507) 334-5627

200 8TH Ave NW
Suite 4
Faribault, MN 55021-5068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8656MNMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Action Rehab, LLP CurrentSince May 1, 2011 Accepting new patients
Dr. Robert J. Erickson, P.a. PastSince Sep 1, 2018 Accepting new patients

Locations

200 8th Ave NW
Faribault, MN 55021
Phone (507) 334-2602

1819 2nd Ave NW
Faribault, MN 55021
Phone (507) 334-5627

200 8th Ave NW
Ste 4
Faribault, MN 55021
Phone (507) 334-5627

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311033600000",
    "number": "1194028340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 8TH AVE NW",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550215068",
            "telephone_number": "507-334-5627",
            "fax_number": "507-334-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 8TH AVE NW",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550215068",
            "telephone_number": "507-334-5627",
            "fax_number": "507-334-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINDLER",
        "first_name": "KRISTEN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-09",
        "last_updated": "2011-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "8656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Faribault, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.