Active NPI
Brady Loren Kensrud, PT, DPT
- Physical Therapist
- Globe, AZ
National Provider Identifier
1245534635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8528
- Practice address
- 5880 S Hospital Dr
Globe, AZ 85501-9447 - Phone
- (928) 402-1280
- NPI assigned
- Dec 29, 2010
- Sex
- Male
- 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 | 8528 | AZ | Primary |
Addresses
Primary practice location
5880 S Hospital Dr
Globe, AZ 85501-9447
Mailing address
18402 E El Buho Pequeno
Gold Canyon, AZ 85118-7526
Phone (218) 591-7947
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 |
|---|---|---|---|
| 9277 | MN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860
915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352
Organizations & group practices 3
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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Duluth, MN
- NPI 1073480968
-
- Rehabilitation Hospital Unit
- Duluth, MN
- NPI 1902845068
-
- Pulmonary Disease Physician
- Duluth, MN
- NPI 1992759690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293580800000",
"number": "1245534635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18402 E EL BUHO PEQUENO",
"city": "GOLD CANYON",
"state": "AZ",
"postal_code": "851187526",
"telephone_number": "218-591-7947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5880 S HOSPITAL DR",
"city": "GLOBE",
"state": "AZ",
"postal_code": "855019447",
"telephone_number": "928-402-1280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENSRUD",
"first_name": "BRADY",
"middle_name": "LOREN",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-29",
"last_updated": "2010-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "8528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Globe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.