Active NPI
Kristy Lyn Harken, DPT
- Physical Therapist
- Ankeny, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004580
- 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
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 | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Stone Therapy Inc. | Current | Accepting new patients | |
| Goodcare Athome Rehab, LLC | Physical Therapist | Current | 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.
-
- Physical Medicine & Rehabilitation Physician
- Urbandale, IA
- NPI 1932797297
IA
-
- Rehabilitation Clinic/Center
- West Des Moines, IA
- NPI 1003816026
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.