Individual provider Active NPI

Michael Kurek, PT, DPT, ATC

  • Physical Therapist
  • Winona, MN
National Provider Identifier
1215544119
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12048 Issued in MN
Practice address
1512 W Service Dr
Winona, MN 55987-2540
Phone
(507) 474-6900
NPI assigned
Sep 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15195-24 WI
Physical Therapist 225100000X 12048 MN Primary

Addresses

Primary practice location

1512 W Service Dr
Winona, MN 55987-2540

Mailing address

430 28TH St SE
Apt 204
Rochester, MN 55904-6843
Phone (920) 979-5046

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL michael@sportnspine.com

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

State licenses

LicenseStateTypeSpecialty
12048MNMDPhysical Therapist
15195-24WIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1215544119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 28TH ST SE",
            "address_2": "APT 204",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559046843",
            "telephone_number": "920-979-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 W SERVICE DR",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559872540",
            "telephone_number": "507-474-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUREK",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-25",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15195-24",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "12048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "michael@sportnspine.com",
            "affiliation": "N",
            "endpointDescription": "Business E-mail",
            "address_1": "1512 W Service Dr",
            "city": "Winona",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559872540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winona, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.