Individual provider Active NPI

Karen Jiran-Salls, PT, PRC

  • Physical Therapist
  • Woodbury, MN
National Provider Identifier
1891826194
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5412 Issued in MN
Practice address
783 Radio Dr
Suite 105
Woodbury, MN 55125-9454
Phone
(651) 730-7771
Fax
(651) 730-7772
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5412 MN Primary

Addresses

Primary practice location

783 Radio Dr
Suite 105
Woodbury, MN 55125-9454

Mailing address

783 Radio Dr
Suite 105
Woodbury, MN 55125-9454
Phone (651) 730-7771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051115000307 MN Practitioner - Physical Therapist in Private Practice 9830117597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kinetic Physical Therapy InstituteGroup PAC ID 8123046885, 4 clinicians

Practice addresses (Care Compare)

731 Bielenberg Dr
Suite 107
Woodbury, MN 55125-1701
Phone (651) 730-7771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5412MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kinetic Physical Therapy Institute Physical Therapist CurrentSince Sep 1, 2005 Accepting new patients

Locations

783 Radio Dr
Ste 105
Woodbury, MN 55125
Phone (651) 730-7771

731 Bielenberg Dr
Ste 107
Woodbury, MN 55125
Phone (651) 730-7771

3060 Woodbury Dr
Woodbury, MN 55129
Phone (651) 427-4893

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891826194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "783 RADIO DR",
            "address_2": "SUITE 105",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551259454",
            "telephone_number": "651-730-7771",
            "fax_number": "651-730-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "783 RADIO DR",
            "address_2": "SUITE 105",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551259454",
            "telephone_number": "651-730-7771",
            "fax_number": "651-730-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIRAN-SALLS",
        "first_name": "KAREN",
        "credential": "PT, PRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "5412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.