Individual provider Active NPI

Kristy Lyn Harken, DPT

  • Physical Therapist
  • Ankeny, IA
National Provider Identifier
1346547148
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004580 Issued in IA
Practice address
1450 SW Vintage Pkwy
Ankeny, IA 50023-7165
Phone
(515) 963-8723
NPI assigned
Feb 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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 004580 IA Primary

Addresses

Primary practice location

1450 SW Vintage Pkwy
Ankeny, IA 50023-7165

Mailing address

1785 NW 73Rd PL
Ankeny, IA 50023-9372
Phone (515) 371-6065

Other practice location 1

950 Office Park Rd
Suite 100
West Des Moines, IA 50265-2549
Phone (515) 224-0979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190107000652 IA Practitioner - Physical Therapist in Private Practice 7113263526 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Stone Therapy Inc. CurrentSince Apr 1, 2025 Accepting new patients
Goodcare Athome Rehab, LLC Physical Therapist CurrentSince Apr 26, 2021 Accepting new patients
Central Rehabilitation LTD Past Accepting new patients

Locations

2830 100th St
Ste 100
Urbandale, IA 50322
Phone (515) 537-4770

909 Ashworth Rd
West Des Moines, IA 50265

909 Ashworth Rd
Ste 1A
West Des Moines, IA 50265

1000 N West Ave
Ste 210
Sioux Falls, SD 57104
Phone (605) 403-0933

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.

NPI Registry JSON

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1346547148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 NW 73RD PL",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500239372",
            "telephone_number": "515-371-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 SW VINTAGE PKWY",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500237165",
            "telephone_number": "515-963-8723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Office Park Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502652549",
            "country_code": "US",
            "telephone_number": "515-224-0979",
            "fax_number": "515-223-3862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARKEN",
        "first_name": "KRISTY",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-15",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.