Active NPI
Kristen Gerlach, PT
- Physical Therapist
- Lakeville, MN
National Provider Identifier
1417405820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5726
- Practice address
- 17599 Kenwood TRL Ste 200
Lakeville, MN 55044-4228 - Phone
- (952) 835-4512
- Fax
- (888) 425-0398
- NPI assigned
- Sep 14, 2016
- 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 | 5726 | MN | Primary |
Addresses
Primary practice location
17599 Kenwood TRL Ste 200
Lakeville, MN 55044-4228
Mailing address
7825 3Rd St N
Ste 105
Oakdale, MN 55128-5444
Phone (952) 835-4512
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 |
|---|---|---|---|
| 5726 | MN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624492800000",
"number": "1417405820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7825 3RD ST N",
"address_2": "STE 105",
"city": "OAKDALE",
"state": "MN",
"postal_code": "551285444",
"telephone_number": "952-835-4512",
"fax_number": "888-425-0398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17599 KENWOOD TRL STE 200",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550444228",
"telephone_number": "952-835-4512",
"fax_number": "888-425-0398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERLACH",
"first_name": "KRISTEN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-14",
"last_updated": "2021-06-24",
"certification_date": "2021-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "5726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.