Individual provider Active NPI

Kristen Strawhacker, PT, DPT

  • Physical Therapist
  • West Des Moines, IA
National Provider Identifier
1578975140
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
073782 Issued in IA
Practice address
815 Office Park Rd Ste 3
West Des Moines, IA 50265-2502
Phone
(515) 346-8636
Fax
(866) 346-8292
NPI assigned
May 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 073782 IA Primary

Addresses

Primary practice location

815 Office Park Rd Ste 3
West Des Moines, IA 50265-2502

Mailing address

815 Office Park Rd Ste 3
West Des Moines, IA 50265-2502
Phone (515) 346-8636

Other practice location 1

710 E 1st St
Ankeny, IA 50021
Phone (515) 965-5311

Other practice location 2

550 SW 9th St Ste 4104
Des Moines, IA 50309-4518
Phone (515) 608-5700

Other names 1

  • Kristen Strawhacker Bonzer Other name

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

LicenseStateTypeSpecialty
073782IAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1578975140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 OFFICE PARK RD STE 3",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652502",
            "telephone_number": "515-346-8636",
            "fax_number": "866-346-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 OFFICE PARK RD STE 3",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652502",
            "telephone_number": "515-346-8636",
            "fax_number": "866-346-8292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Ankeny",
            "state": "IA",
            "postal_code": "50021",
            "country_code": "US",
            "telephone_number": "515-965-5311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 SW 9th St Ste 4104",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503094518",
            "country_code": "US",
            "telephone_number": "515-608-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRAWHACKER",
        "first_name": "KRISTEN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "073782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "STRAWHACKER BONZER",
            "credential": "PT, DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.