Patti Kampa Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2710 Issued in MN

Legal business name

PATTI KAMPA PHYSICAL THERAPY

Practice address

15 NE 5TH St
Grand Rapids, MN 55744-2760

Phone

(218) 326-2200

Fax

(218) 326-2977

NPI assigned

Feb 29, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patricia J Kampa, PT, DPTNPI 1578603171

Title

Owner/Physical Therapist

Phone

(218) 326-2200

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Jean Kampa, PT, DPT

  • Physical Therapist
  • Grand Rapids, MN
  • NPI 1578603171
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1508130147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28651 SUNNY BEACH RD",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444558",
            "telephone_number": "218-326-2200",
            "fax_number": "218-326-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 NE 5TH ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442760",
            "telephone_number": "218-326-2200",
            "fax_number": "218-326-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTI KAMPA PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "KAMPA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "218-326-2200",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MN",
            "license": "2710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Owens
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• Stephen Richard Park
• Jeff Parlanti, RPH
• Amanda Patnode
• Pear Lake Women'S Facility - Outpatient
• Madeline Rose Peart, LICSW
• Barry J Pederson, DPT CSCS
• Shara D. Pehl, MD
• Timothy J. Pehl, MD

• Physical Therapy Clinic/Center in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Physical Therapy Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.