Organization Active NPI

Kusin II LLC

  • Physical Therapist
  • Rogers, MN
National Provider Identifier
1619718186
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KUSIN II LLC
Practice address
21897 S Diamond Lake Rd Ste 100
Rogers, MN 55374-4643
Phone
(763) 370-7755
NPI assigned
Jun 6, 2024
Organization subpart
Yes
Parent organization
KUSIN LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Mrs. Anna Morgan SwansonNPI 1831930783
Title
Vice President
Phone
(763) 370-7755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

21897 S Diamond Lake Rd Ste 100
Rogers, MN 55374-4643

Mailing address

15180 79TH St NE
Otsego, MN 55330-4145

Other names 2

  • Fearless Fitness Doing business as
  • Fearless Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

21897 S Diamond Lake Rd
Ste 100
Rogers, MN 55374
Phone (612) 200-2331

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1619718186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15180 79TH ST NE",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553304145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21897 S DIAMOND LAKE RD STE 100",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553744643",
            "telephone_number": "763-370-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUSIN II LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KUSIN LLC",
        "enumeration_date": "2024-06-06",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "MORGAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "763-370-7755",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fearless Fitness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fearless Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rogers, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.