Kelsie Jo Hagelin, PT, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

9392 Issued in MN

Practice address

3111 124TH Ave NW Ste 123
Coon Rapids, MN 55433-4573

Phone

(763) 236-7485

NPI assigned

Jul 24, 2018

Last updated

Jul 24, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: khagelin203751@excellian.direct.allina.com

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1194202077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 124TH AVE NW STE 123",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554334573",
            "telephone_number": "763-236-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 124TH AVE NW STE 123",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554334573",
            "telephone_number": "763-236-7485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGELIN",
        "first_name": "KELSIE",
        "middle_name": "JO",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MN",
            "license": "9392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Haas
• Erika Janet Hachey, CNP
• Kaitlin Rose Hackett
• Brittany Hackshaw, CNP
• Dawn Hadley
• Kristy Hagen, RN MSN CNS
• Sarah Elizabeth Thon Haggbloom, DC, ATC
• Matthew C Hahn, CRNA
• Aisha Haji
• Jennifer Gordon Hakes, PT

• Pediatric Physical Therapist in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Pediatric Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.