Active NPI
Kirsten Robertshaw, DPT
- Physical Medicine & Rehabilitation Physician
- Cedar Rapids, IA
National Provider Identifier
1780956698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 004869
- Practice address
- 645 32ND Ave SW
Cedar Rapids, IA 52404-3907 - Phone
- (319) 363-2901
- Fax
- (319) 363-2903
- NPI assigned
- Feb 8, 2012
- 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 Medicine & Rehabilitation Physician | 208100000X | 004869 | IA | Primary |
Addresses
Primary practice location
645 32ND Ave SW
Cedar Rapids, IA 52404-3907
Mailing address
3290 Ridgeway Dr Ste 3
Coralville, IA 52241-2023
Phone (319) 665-2630
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004869 | IA | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328659200000",
"number": "1780956698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3290 RIDGEWAY DR STE 3",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522412023",
"telephone_number": "319-665-2630",
"fax_number": "319-665-2631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 32ND AVE SW",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524043907",
"telephone_number": "319-363-2901",
"fax_number": "319-363-2903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSHAW",
"first_name": "KIRSTEN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-08",
"last_updated": "2012-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IA",
"license": "004869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.