Active NPI
Kendria Jean Ruhland, DPT
- Physical Therapist
- Minnetonka, MN
National Provider Identifier
1306329446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11303
- Practice address
- 5900 Green Oak Dr Ste 200
Minnetonka, MN 55343-4797 - Phone
- (952) 926-9808
- NPI assigned
- Sep 14, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 093661 | IA | |
| Physical Therapist | 225100000X | 11303 | MN | Primary |
Addresses
Primary practice location
5900 Green Oak Dr Ste 200
Minnetonka, MN 55343-4797
Mailing address
10900 Oxborough Ave S
Bloomington, MN 55437-3036
Phone (952) 843-8280
Other practice location 1
1755 Wittington Pl Ste 175
Dallas, TX 75234-1905
Phone (877) 456-2867 ext. 4163
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U4927557906 | Other | CIGNA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 093661 | IA | MD | Physical Therapist |
| 11303 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691712000000",
"number": "1306329446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10900 OXBOROUGH AVE S",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554373036",
"telephone_number": "952-843-8280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 GREEN OAK DR STE 200",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553434797",
"telephone_number": "952-926-9808"
}
],
"practiceLocations": [
{
"address_1": "1755 Wittington Pl Ste 175",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752341905",
"country_code": "US",
"telephone_number": "877-456-2867 x4163",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUHLAND",
"first_name": "KENDRIA",
"middle_name": "JEAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-14",
"last_updated": "2023-08-11",
"certification_date": "2023-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "093661",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "11303",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "U4927557906",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.