Individual provider Active NPI

Danielle Ann Pulkrabek, ATR, CSCS

  • Athletic Trainer
  • Mound, MN
National Provider Identifier
1306806559
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
1914 Issued in MN
Practice address
2200 Commerce Blvd
Mound, MN 55364-1547
Phone
(952) 495-2125
NPI assigned
Mar 23, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 1914 MN Primary

Addresses

Primary practice location

2200 Commerce Blvd
Mound, MN 55364-1547

Mailing address

3145 Harbor LN N
Apt. 1-301
Plymouth, MN 55447-5124
Phone (763) 519-1228

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1306806559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 HARBOR LN N",
            "address_2": "APT. 1-301",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475124",
            "telephone_number": "763-519-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 COMMERCE BLVD",
            "city": "MOUND",
            "state": "MN",
            "postal_code": "553641547",
            "telephone_number": "952-495-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULKRABEK",
        "first_name": "DANIELLE",
        "middle_name": "ANN",
        "credential": "ATR, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "1914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mound, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.