Active NPI
Talia Jordan Kramer
- Physical Therapist
- Dassel, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11055
- Practice address
- 621 Parker Ave W
Dassel, MN 55325-1094 - Phone
- (320) 275-1304
- Fax
- (320) 275-0161
- NPI assigned
- May 21, 2018
- Last updated
- May 21, 2018
- 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 | 11055 | MN | Primary |
Addresses
Primary practice location
621 Parker Ave W
Dassel, MN 55325-1094
Mailing address
PO Box 737
Howard Lake, MN 55349-0737
Phone (320) 543-1104
Other practice location 1
1116 6th St
Howard Lake, MN 55349-5676
Phone (320) 543-1104
Other practice location 2
109 5th St NE
Little Falls, MN 56345-2732
Phone (320) 631-1104
Other practice location 3
921 Central Ave E Ste 200
Saint Michael, MN 55376-9618
Phone (763) 497-1153
Other practice location 4
3165 Fernbrook Ln N
Plymouth, MN 55447-5320
Phone (763) 710-4637
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174556682 | Other | MN | NPI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11055 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Choice Chiropractic | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Medical Specialty Clinic/Center
- Howard Lake, MN
- NPI 1518990043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526860800000",
"number": "1235620709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 737",
"city": "HOWARD LAKE",
"state": "MN",
"postal_code": "553490737",
"telephone_number": "320-543-1104",
"fax_number": "321-543-1105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 PARKER AVE W",
"city": "DASSEL",
"state": "MN",
"postal_code": "553251094",
"telephone_number": "320-275-1304",
"fax_number": "320-275-0161"
}
],
"practiceLocations": [
{
"address_1": "1116 6th St",
"address_purpose": "LOCATION",
"city": "Howard Lake",
"state": "MN",
"postal_code": "553495676",
"country_code": "US",
"telephone_number": "320-543-1104",
"fax_number": "320-543-1105",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "109 5th St NE",
"address_purpose": "LOCATION",
"city": "Little Falls",
"state": "MN",
"postal_code": "563452732",
"country_code": "US",
"telephone_number": "320-631-1104",
"fax_number": "320-631-1105",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "921 Central Ave E Ste 200",
"address_purpose": "LOCATION",
"city": "Saint Michael",
"state": "MN",
"postal_code": "553769618",
"country_code": "US",
"telephone_number": "763-497-1153",
"fax_number": "763-497-5256",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3165 Fernbrook Ln N",
"address_purpose": "LOCATION",
"city": "Plymouth",
"state": "MN",
"postal_code": "554475320",
"country_code": "US",
"telephone_number": "763-710-4637",
"fax_number": "763-710-4473",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRAMER",
"first_name": "TALIA",
"middle_name": "JORDAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-21",
"last_updated": "2018-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "11055",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1174556682",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dassel, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.