Active NPI
Rachel M Hakanson, DPT
- Physical Therapist
- Chanhassen, MN
National Provider Identifier
1306157680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 18912 Lake Dr E
Chanhassen, MN 55317-9348 - Phone
- (952) 908-2730
- Fax
- (952) 908-3731
- NPI assigned
- Jul 1, 2010
- 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 | MN | Primary |
Addresses
Primary practice location
18912 Lake Dr E
Chanhassen, MN 55317-9348
Mailing address
18912 Lake Dr E
Chanhassen, MN 55317-9348
Phone (952) 908-2730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8548 | Other | MN | LICENSE |
Other names 1
- Rachel M Berglund
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 |
|---|---|---|---|
| 8548 | MN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interventional Spine and Pain Physicians, PA | Physical Therapist | Past | Accepting new patients |
| Physicians' Diagnostics & Rehabilitation,LTD | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Maple Grove, MN
- NPI 1326398561
Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Edina, MN
- NPI 1073626081
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291161600000",
"number": "1306157680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18912 LAKE DR E",
"city": "CHANHASSEN",
"state": "MN",
"postal_code": "553179348",
"telephone_number": "952-908-2730",
"fax_number": "952-908-3731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18912 LAKE DR E",
"city": "CHANHASSEN",
"state": "MN",
"postal_code": "553179348",
"telephone_number": "952-908-2730",
"fax_number": "952-908-3731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAKANSON",
"first_name": "RACHEL",
"middle_name": "M",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-01",
"last_updated": "2010-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "8548",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "BERGLUND",
"middle_name": "M",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chanhassen, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.