Individual provider Active NPI

Kary Ann Barrette

  • Physical Therapist
  • Lakeville, MN
National Provider Identifier
1275299505
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
10551 165TH St W
Lakeville, MN 55044-5737
Phone
(952) 435-5300
Fax
(952) 898-1454
NPI assigned
Nov 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

10551 165TH St W
Lakeville, MN 55044-5737

Mailing address

10551 165TH St W
Lakeville, MN 55044-5737
Phone (952) 435-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211229001782 MN Practitioner - Physical Medicine and Rehabilitation 9335530385 Reassigns benefits to 1 organization
I20240509001589 MN Practitioner - Physical Therapist in Private Practice 9335530385 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tria Orthopaedic Center LLCGroup PAC ID 3173570561, 504 clinicians

Practice addresses (Care Compare)

400 Wabasha St N
Suite 260
Saint Paul, MN 55102-1147
Phone (952) 831-8742

8100 Northland Dr
Bloomington, MN 55431-4800
Phone (952) 831-8742

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Park Nicollet Clinic CurrentSince Mar 18, 2024 Accepting new patients
Tria Orthopaedic Center LLC Physical Therapist CurrentSince Mar 18, 2024 Accepting new patients
Park Nicollet Clinic CurrentSince Mar 18, 2024 Accepting new patients
Life Wellness Center, Inc. Physical Therapist CurrentSince Nov 10, 2021 Accepting new patients

Locations

1895 Plaza Dr
Ste 200
Eagan, MN 55122
Phone (651) 688-8886

10551 165th St W
Lakeville, MN 55044
Phone (952) 435-5300

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 831-1626

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

Organizations & group practices 4

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": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1275299505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10551 165TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550445737",
            "telephone_number": "952-435-5300",
            "fax_number": "952-898-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10551 165TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550445737",
            "telephone_number": "952-435-5300",
            "fax_number": "952-898-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETTE",
        "first_name": "KARY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MN

Sources for this page

Verify at the official NPI Registry.