Individual provider Active NPI

Kaila Marie Engel, DPT, PT

  • Physical Therapist
  • West Fargo, ND
National Provider Identifier
1578232542
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2793 Issued in ND
Practice address
1420 9TH St E
West Fargo, ND 58078-3381
Phone
(701) 364-2739
NPI assigned
Sep 12, 2021
Last updated
Oct 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4279 NE
Physical Therapist 225100000X 2793 ND Primary

Addresses

Primary practice location

1420 9TH St E
West Fargo, ND 58078-3381

Mailing address

4920 30TH Ave S Apt 118
Fargo, ND 58104-9025
Phone (808) 753-8004

Other practice location 1

214 W 27th St
Scottsbluff, NE 69361-4306
Phone (308) 633-2900

Other practice location 2

5314 River Run Dr Ste 140
Provo, UT 84604-7706
Phone (801) 426-4905

Other names 1

  • Kaila Marie Kikugawa Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241113002155 ND Practitioner - Physical Therapist in Private Practice 9830596865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Physical Therapy and Wellness Center PCGroup PAC ID 6507926235, 33 clinicians

Practice addresses (Care Compare)

1420 9TH St E
Suite 401
West Fargo, ND 58078-3381
Phone (701) 364-2739

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2793NDMDPhysical Therapist
4279NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Physical Therapy and Wellness Center, PC Physical Therapist CurrentSince Oct 28, 2024 Accepting new patients
Elite Chiropractic & Wellness LLC CurrentSince Aug 27, 2023 Accepting new patients

Locations

1420 9th St E
Ste 401
West Fargo, ND 58078
Phone (701) 361-2739

214 W 27th St
Scottsbluff, NE 69361
Phone (308) 633-2900

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1631404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1578232542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 30TH AVE S APT 118",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581049025",
            "telephone_number": "808-753-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 9TH ST E",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580783381",
            "telephone_number": "701-364-2739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 W 27th St",
            "address_purpose": "LOCATION",
            "city": "Scottsbluff",
            "state": "NE",
            "postal_code": "693614306",
            "country_code": "US",
            "telephone_number": "308-633-2900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5314 River Run Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846047706",
            "country_code": "US",
            "telephone_number": "801-426-4905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGEL",
        "first_name": "KAILA",
        "middle_name": "MARIE",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-12",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "4279",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "2793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAILA",
            "last_name": "KIKUGAWA",
            "middle_name": "MARIE",
            "credential": "DPT, PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.