Active NPI
Kathleen H Woken, PT
- Physical Therapist
- Fargo, ND
National Provider Identifier
1922032838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 814
- Practice address
- 2990 Seter Pkwy S
Fargo, ND 58104-8692 - Phone
- (701) 234-8385
- Fax
- (701) 234-8944
- NPI assigned
- Jul 10, 2006
- 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 Therapist | 225100000X | 814 | ND | Primary |
Addresses
Primary practice location
2990 Seter Pkwy S
Fargo, ND 58104-8692
Mailing address
2990 Seter Pkwy S
Fargo, ND 58104-8692
Phone (701) 234-8385
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ND200015 | Other | ND | LHS # |
| HP38647 | Other | ND | HEALTHPARTNERS # |
| 23745 | Other | ND | AMERICA'S PPO/ARAZ # |
| 6401695 | Other | ND | MEDICA # |
| 63D89WO | Other | ND | MNBS # |
| 6402107 | Other | ND | MEDICA # |
| DA9011015523 | Other | ND | PREFERRED ONE # |
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 |
|---|---|---|---|
| 814 | ND | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center Fargo | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412812800000",
"number": "1922032838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2990 SETER PKWY S",
"city": "FARGO",
"state": "ND",
"postal_code": "581048692",
"telephone_number": "701-234-8385",
"fax_number": "701-234-8944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2990 SETER PKWY S",
"city": "FARGO",
"state": "ND",
"postal_code": "581048692",
"telephone_number": "701-234-8385",
"fax_number": "701-234-8944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOKEN",
"first_name": "KATHLEEN",
"middle_name": "H",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2014-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "814",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LHS #",
"identifier": "ND200015",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS #",
"identifier": "HP38647",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S PPO/ARAZ #",
"identifier": "23745",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA #",
"identifier": "6401695",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MNBS #",
"identifier": "63D89WO",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA #",
"identifier": "6402107",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE #",
"identifier": "DA9011015523",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.