Individual provider Active NPI

Kayla Kranda, PT, DPT

  • Physical Therapist
  • Bismarck, ND
National Provider Identifier
1366813560
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1950 Issued in ND
Practice address
207 W Front Ave
Bismarck, ND 58504-5514
Phone
(701) 751-0994
NPI assigned
Oct 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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 1950 ND Primary

Addresses

Primary practice location

207 W Front Ave
Bismarck, ND 58504-5514

Mailing address

207 W Front Ave
Bismarck, ND 58504-5514
Phone (701) 751-0994

Other practice location 1

4072 Sunny Ln S
Mandan, ND 58554-5901
Phone (701) 400-3166

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190923002158 ND Practitioner - Physical Therapist in Private Practice 4284964966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CCS Physical Therapy, LLCGroup PAC ID 2668653890, 15 clinicians

Practice addresses (Care Compare)

207 W Front Ave
Bismarck, ND 58504-5514
Phone (701) 751-0994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1950NDMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
CCS Physical Therapy, LLC Physical Therapist CurrentSince Sep 23, 2019 Accepting new patients

Locations

207 W Front Ave
Bismarck, ND 58504
Phone (701) 751-0994

425 E Avenue C
Bismarck, ND 58501
Phone (701) 530-3200

5705 Highway 200
Hazen, ND 58545
Phone (701) 751-0994

Interoperability endpoints

  • Direct secure messaging: kayla.kranda.1@26683.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26683/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1366813560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W FRONT AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045514",
            "telephone_number": "701-751-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W FRONT AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045514",
            "telephone_number": "701-751-0994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4072 Sunny Ln S",
            "address_purpose": "LOCATION",
            "city": "Mandan",
            "state": "ND",
            "postal_code": "585545901",
            "country_code": "US",
            "telephone_number": "701-400-3166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRANDA",
        "first_name": "KAYLA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.