Individual provider Active NPI

Kara Lyn Talbot, PT

  • Specialist
  • Brooklyn Center, MN
National Provider Identifier
1215058631
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
7770 Issued in MN
Practice address
5740 Brooklyn Blvd
Suite 100
Brooklyn Center, MN 55429-3062
Phone
(763) 561-4045
Fax
(763) 561-8690
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 7770 MN Primary

Addresses

Primary practice location

5740 Brooklyn Blvd
Suite 100
Brooklyn Center, MN 55429-3062

Mailing address

5740 Brooklyn Blvd
Brooklyn Center, MN 55433
Phone (763) 561-4045

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070912000297 MN Practitioner - Physical Therapist in Private Practice 9335232958 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7770MNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kent J. Erickson, D.C., CHTD CurrentSince Dec 1, 2008 Accepting new patients

Locations

5740 Brooklyn Blvd
Ste 100
Minneapolis, MN 55429
Phone (612) 561-4045

Organizations & group practices 1

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1215058631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5740 BROOKLYN BLVD",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "55433",
            "telephone_number": "763-561-4045",
            "fax_number": "763-561-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 BROOKLYN BLVD",
            "address_2": "SUITE 100",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293062",
            "telephone_number": "763-561-4045",
            "fax_number": "763-561-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALBOT",
        "first_name": "KARA",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MN",
            "license": "7770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Center, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.