Individual provider Active NPI

Amanda Alice Kronen, PTA

  • Physical Therapy Assistant
  • Baxter, MN
National Provider Identifier
1720671316
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A1205 Issued in MN
Practice address
14884 Kirkwood Dr
Baxter, MN 56425-8451
Phone
(218) 824-5027
NPI assigned
Feb 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A1205 MN Primary

Addresses

Primary practice location

14884 Kirkwood Dr
Baxter, MN 56425-8451

Mailing address

14884 Kirkwood Dr
Baxter, MN 56425-8451
Phone (218) 824-5027

Other names 1

  • Amanda Alice Lobdell Former 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A1205MNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Select Urgent Care LLC Current Accepting new patients
Select Chiropractic Inc. Current Accepting new patients

Locations

14884 Kirkwood Dr
Brainerd, MN 56425
Phone (218) 824-8011

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28265/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1720671316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14884 KIRKWOOD DR",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258451",
            "telephone_number": "218-824-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14884 KIRKWOOD DR",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258451",
            "telephone_number": "218-824-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRONEN",
        "first_name": "AMANDA",
        "middle_name": "ALICE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "LOBDELL",
            "middle_name": "ALICE",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baxter, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.