Anna C Kanani

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A1217 Issued in MN

Practice address

200 Main Ave S
Park Rapids, MN 56470-1518

Phone

(218) 732-0868

Fax

(218) 732-8502

NPI assigned

Sep 11, 2008

Sex

Female

Sole proprietor

No

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.

• Park Rapids Physical Therapy and Rehabilitation Center Inc

  • Physical Therapy Clinic/Center
  • Park Rapids, MN
  • NPI 1285706549
  NPD (past)
• Sanford Clinic North

  • Family Medicine Physician
  • Alexandria, MN
  • NPI 1548532468
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 12, 2009.

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244764800000",
    "number": "1831348085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MAIN AVE S",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564701518",
            "telephone_number": "218-732-0868",
            "fax_number": "218-732-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAIN AVE S",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564701518",
            "telephone_number": "218-732-0868",
            "fax_number": "218-732-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANANI",
        "first_name": "ANNA",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-11",
        "last_updated": "2009-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A1217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thor Johnson
• Sandra L Jones, PAC
• Jay Christopher Jorgenson, DDS, PA
• Don Josefson, MA, LADC
• Sriveer Kaasam, M.D.
• Rae Keashly, MD
• Jennifer M Keller, O.D.
• Jade Kelley, PHARMD, RPH
• Mariah Rose Kemmer
• Laura Kempnich, MSW, LGSW

• All providers in Park Rapids, MN
• Physical Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; 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.