Individual provider Active NPI

Diane K Krump, BCMT, CRT

  • Mechanotherapist
  • Plymouth, MN
National Provider Identifier
1740430537
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
172M00000X Issued in MN
Practice address
14332 21St Ave N
Ste 200
Plymouth, MN 55447-4631
Phone
(763) 300-5833
NPI assigned
Sep 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X 172M00000X MN Primary
Reflexologist 173C00000X 173C00000X MN

Addresses

Primary practice location

14332 21St Ave N
Ste 200
Plymouth, MN 55447-4631

Mailing address

14332 21St Ave N
Ste 200
Plymouth, MN 55447-4631
Phone (763) 398-0365

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
172M00000XMNMDMechanotherapist
173C00000XMNMDReflexologist

NPI Registry JSON

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1740430537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14332 21ST AVE N",
            "address_2": "STE 200",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554474631",
            "telephone_number": "763-398-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14332 21ST AVE N",
            "address_2": "STE 200",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554474631",
            "telephone_number": "763-300-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUMP",
        "first_name": "DIANE",
        "middle_name": "K",
        "credential": "BCMT, CRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "MN",
            "license": "172M00000X",
            "primary": true
        },
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "MN",
            "license": "173C00000X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.

Verify at the official NPI Registry.