Individual provider Active NPI

Rebecca Ann Kirchoff-Knapp, PTA

  • Physical Medicine & Rehabilitation Physician
  • Golden Valley, MN
National Provider Identifier
1942842190
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A2047 Issued in MN
Practice address
800 Boone Ave N Ste 135
Golden Valley, MN 55427-4476
Phone
(612) 327-1146
NPI assigned
Oct 9, 2019
Last updated
Oct 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A2047 MN Primary

Addresses

Primary practice location

800 Boone Ave N Ste 135
Golden Valley, MN 55427-4476

Mailing address

800 Boone Ave N Ste 135
Golden Valley, MN 55427-4476
Phone (612) 327-1146

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A2047MNMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1942842190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BOONE AVE N STE 135",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274476",
            "telephone_number": "612-327-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BOONE AVE N STE 135",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274476",
            "telephone_number": "612-327-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRCHOFF-KNAPP",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MN",
            "license": "A2047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.