Active NPI
Kristine Michele Raadt, DPT
- Physical Therapist
- Rushford, MN
National Provider Identifier
1629413646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8204
- Practice address
- 109 W Jesse St
Rushford Clinic
Rushford, MN 55971 - Phone
- (507) 864-7726
- NPI assigned
- May 3, 2013
- Last updated
- Sep 17, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8204 | MN | Primary |
Addresses
Primary practice location
109 W Jesse St
Rushford Clinic
Rushford, MN 55971
Mailing address
855 Mankato Ave
Winona, MN 55987-4868
Phone (507) 474-3184
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8204 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379376000000",
"number": "1629413646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 MANKATO AVE",
"city": "WINONA",
"state": "MN",
"postal_code": "559874868",
"telephone_number": "507-474-3184",
"fax_number": "507-453-3791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 W JESSE ST",
"address_2": "RUSHFORD CLINIC",
"city": "RUSHFORD",
"state": "MN",
"postal_code": "55971",
"telephone_number": "507-864-7726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAADT",
"first_name": "KRISTINE",
"middle_name": "MICHELE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-03",
"last_updated": "2013-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "8204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rushford, MN
- Diane Beth Montgomery, PT
- Jan Alvin Nelson, RPH
- Nurse Practitioner Associates, LTD.
- Paramed Services, Inc.
- Sherwood E Peterson Jr., R.PH.
- Stephanie Jane Rae, DPT
- Rushford Chiropractic Clinic, Inc
- Rushford Drug Co (Witts Pharmacy)
- Rushford Drug Company (Witt's Pharmacy - LTC)
- Rushford-Peterson School District #239
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.