Active NPI
Kristin K Rinderknecht, MPT
- Physical Therapist
- Clive, IA
National Provider Identifier
1407099153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 03871
- Practice address
- 12493 University Ave
Clive, IA 50325-8286 - Phone
- (515) 358-9494
- Fax
- (515) 358-9491
- NPI assigned
- Apr 10, 2009
- Last updated
- Mar 17, 2018
- 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 | 03871 | IA | Primary |
Addresses
Primary practice location
12493 University Ave
Clive, IA 50325-8286
Mailing address
PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 358-9494
Other practice location 1
12493 University Ave
Clive, IA 50325-8281
Phone (515) 282-9622
Other practice location 2
12493 University Ave
Clive, IA 50325-8281
Phone (515) 358-9494
Other practice location 3
12493 University Ave
Clive, IA 50325-8281
Phone (515) 358-9494
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03871 | IA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1407099153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1475",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503051475",
"telephone_number": "515-358-9494",
"fax_number": "515-358-9491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12493 UNIVERSITY AVE",
"city": "CLIVE",
"state": "IA",
"postal_code": "503258286",
"telephone_number": "515-358-9494",
"fax_number": "515-358-9491"
}
],
"practiceLocations": [
{
"address_1": "12493 University Ave",
"address_purpose": "LOCATION",
"city": "Clive",
"state": "IA",
"postal_code": "503258281",
"country_code": "US",
"telephone_number": "515-282-9622",
"fax_number": "515-471-8581",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12493 University Ave",
"address_purpose": "LOCATION",
"city": "Clive",
"state": "IA",
"postal_code": "503258281",
"country_code": "US",
"telephone_number": "515-358-9494",
"fax_number": "515-358-9491",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12493 University Ave",
"address_purpose": "LOCATION",
"city": "Clive",
"state": "IA",
"postal_code": "503258281",
"country_code": "US",
"telephone_number": "515-358-9494",
"fax_number": "515-358-9491",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RINDERKNECHT",
"first_name": "KRISTIN",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-10",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "03871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clive, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.