Jenna M Krautkremer, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2508 Issued in MN

Practice address

640 3Rd St
Gaylord, MN 55334-2297

Phone

(507) 237-2911

NPI assigned

Jan 30, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1356972236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 903",
            "city": "GAYLORD",
            "state": "MN",
            "postal_code": "553340903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 3RD ST",
            "city": "GAYLORD",
            "state": "MN",
            "postal_code": "553342297",
            "telephone_number": "507-237-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUTKREMER",
        "first_name": "JENNA",
        "middle_name": "M",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "2508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gaylord Lakeview Home
• Jill Elizabeth Hewitt, M.S., L.M.F.T
• Angela Rose Hoff, MA OTR/L
• Renee Lynn Kleindl, COTA/L
• Klara Koch, OTR
• Shannon Kuelbs, SLP
• Geri Loose
• McGuire Family Chiropractic PA
• McKayla Nicole Narveson
• Kelli Nowak, MA, LPCC

• Physical Therapy Assistant in Gaylord, MN
• Providers in Gaylord, MN by specialty
• Physical Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.