Active NPI
Kevin D Englund, PT, DPT
- Physical Therapist
- Edina, MN
National Provider Identifier
1740576768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3120
- Practice address
- 4010 W 65TH St
Edina, MN 55435-1706 - Phone
- (952) 456-7000
- Fax
- (952) 456-7001
- NPI assigned
- Jun 28, 2011
- Last updated
- Mar 18, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3120 | MN | Primary |
| Physical Therapist | 225100000X | PTL-11220 | CO |
Addresses
Primary practice location
4010 W 65TH St
Edina, MN 55435-1706
Mailing address
4200 Dahlberg Dr
Suite 300
Golden Valley, MN 55422-4840
Phone (952) 512-5600
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3120 | MN | MD | Marriage & Family Therapist |
| PTL-11220 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Health Collaborative, PA | Past | Accepting new patients | |
| Leading Edge Physical Therapy, LLC | Past | Accepting new patients | |
| Healing Hands Physical Therapy, P.C. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Arvada, CO
- NPI 1851590889
-
- Durable Medical Equipment & Medical Supplies
- River Falls, WI
- NPI 1144608589
-
- Orthopedic Physical Therapist
- Castle Rock, CO
- NPI 1285960807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395100800000",
"number": "1740576768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 DAHLBERG DR",
"address_2": "SUITE 300",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224840",
"telephone_number": "952-512-5600",
"fax_number": "952-512-5651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 W 65TH ST",
"city": "EDINA",
"state": "MN",
"postal_code": "554351706",
"telephone_number": "952-456-7000",
"fax_number": "952-456-7001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGLUND",
"first_name": "KEVIN",
"middle_name": "D",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-28",
"last_updated": "2014-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "3120",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL-11220",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.