Individual provider Active NPI

Kirsten Becker, PT

  • Physical Therapist
  • Saint Cloud, MN
National Provider Identifier
1639152135
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
MN5809 Issued in MN
Practice address
2835 W Saint Germain St
Suite 300
Saint Cloud, MN 56301-4743
Phone
(320) 259-4151
Fax
(320) 259-5707
NPI assigned
Nov 29, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X MN5809 MN Primary

Addresses

Primary practice location

2835 W Saint Germain St
Suite 300
Saint Cloud, MN 56301-4743

Mailing address

2835 W Saint Germain St
Suite 300
Saint Cloud, MN 56301-4743
Phone (320) 259-4151

Other identifiers 5

IdentifierTypeStateIssuer
150073OtherMNMAYO MANAGEMENT ID
6401299OtherMNMEDICA PROVIDER ID
41163580956301B013OtherMNCHAMPUS
9B104BEOtherMNBCBS PROVIDER ID
HP31758OtherMNHEALTHPARTNERS ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080513000787 MN Practitioner - Physical Therapist in Private Practice 1850203829 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MN5809MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Renneke Chiropractic Clinic PA Physical Therapist CurrentSince Apr 21, 2021 Accepting new patients

Locations

623 Madison St
Brainerd, MN 56401
Phone (218) 829-5380

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Spot Rehabilitation, IncSaint Cloud, MN, CCN 248082 Home health agency 5% Or Greater Direct Ownership Interest (25%)
Corporate Officer
Aug 14, 2013
Aug 14, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1639152135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 W SAINT GERMAIN ST",
            "address_2": "SUITE 300",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014743",
            "telephone_number": "320-259-4151",
            "fax_number": "320-259-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 W SAINT GERMAIN ST",
            "address_2": "SUITE 300",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014743",
            "telephone_number": "320-259-4151",
            "fax_number": "320-259-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "KIRSTEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "MN5809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAYO MANAGEMENT ID",
            "identifier": "150073",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA PROVIDER ID",
            "identifier": "6401299",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "41163580956301B013",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "9B104BE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS ID",
            "identifier": "HP31758",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.