Active NPI
Kinesis Physical Therapy, Inc
- Physical Therapy Clinic/Center
- Saint Cloud, MN
National Provider Identifier
1427146737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- KINESIS PHYSICAL THERAPY, INC
- Practice address
- 1521 Northway Dr
Suite #116
Saint Cloud, MN 56303-4489 - Phone
- (320) 654-9838
- Fax
- (320) 654-0981
- NPI assigned
- Oct 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas M Peterson, P.T.
- Title
- Owner/Physical Therapist
- Phone
- (320) 654-9838
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
1521 Northway Dr
Suite #116
Saint Cloud, MN 56303-4489
Mailing address
1521 Northway Dr
Suite #116
Saint Cloud, MN 56303-4489
Phone (320) 654-9838
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47777KI | Other | MN | BLUE CROSS BLUE SHIELD |
| 81908 | Other | MN | HEALTH PARTNERS |
| 117577700 | Medicaid | MN |
National Provider Directory
National Provider DirectoryLocations
1521 Northway Dr
Ste 116
Saint Cloud, MN 56303
Phone (320) 654-9838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653955200000",
"number": "1427146737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1521 NORTHWAY DR",
"address_2": "SUITE #116",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563034489",
"telephone_number": "320-654-9838",
"fax_number": "320-654-0981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1521 NORTHWAY DR",
"address_2": "SUITE #116",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563034489",
"telephone_number": "320-654-9838",
"fax_number": "320-654-0981"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINESIS PHYSICAL THERAPY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-11",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A",
"authorized_official_last_name": "PETERSON",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "320-654-9838",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "47777KI",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "81908",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117577700",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.