Kiirsten Rakers, BS

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

100 Hope Ave
Jordan, MN 55352-1802

Phone

(952) 492-8470

Fax

(952) 492-3880

NPI assigned

Feb 12, 2007

Last updated

Aug 1, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

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.

• Minnesota River Valley Special Education Cooperative

  • Local Education Agency (LEA)
  • Jordan, MN
  • NPI 1346319035
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1811038797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOPE AVE",
            "city": "JORDAN",
            "state": "MN",
            "postal_code": "553521802",
            "telephone_number": "952-492-8470",
            "fax_number": "952-492-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOPE AVE",
            "city": "JORDAN",
            "state": "MN",
            "postal_code": "553521802",
            "telephone_number": "952-492-8470",
            "fax_number": "952-492-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKERS",
        "first_name": "KIIRSTEN",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penney Family Chiropractic, LLC
• Hollie Penney, D.C.
• Scott Charles Penney, D.C.
• Liza Antoinette Jain Phu, M.D.
• Amanda Preiner, OTR/L
• Alicia Ray, PT
• Ruby Sky Therapy and Wellness
• Karis Rygg, LAC
• Lydia Schmidt, D.C.
• Ashtyn Silva, CPM, LTM

• Physical Therapist in Jordan, MN
• Providers in Jordan, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.