Active NPI
Adam Charles Christian Keplinger
- Physical Therapist
- Mendota Heights, MN
National Provider Identifier
1366713950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12954
- Practice address
- 2520 Pilot Knob Rd
Mendota Heights, MN 55120-1137 - Phone
- (651) 224-8264
- NPI assigned
- Jan 13, 2012
- Sex
- Male
- 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 | 12954 | MN | Primary |
Addresses
Primary practice location
2520 Pilot Knob Rd
Mendota Heights, MN 55120-1137
Mailing address
2520 Pilot Knob Rd
Mendota Heights, MN 55120-1137
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A1532 | Other | MN | STATE LICENSE NUMBER |
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 |
|---|---|---|---|
| 12954 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1366713950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 PILOT KNOB RD",
"city": "MENDOTA HEIGHTS",
"state": "MN",
"postal_code": "551201137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 PILOT KNOB RD",
"city": "MENDOTA HEIGHTS",
"state": "MN",
"postal_code": "551201137",
"telephone_number": "651-224-8264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEPLINGER",
"first_name": "ADAM",
"middle_name": "CHARLES CHRISTIAN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-13",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "12954",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "A1532",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mendota Heights, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.