Kato Physical Medicine, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

KATO PHYSICAL MEDICINE, LLC

Practice address

800 South Front Street
Mankato, MN 56001

Phone

(507) 594-9100

NPI assigned

Sep 21, 2017

Last updated

Sep 21, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tjode Maurette MickelsonNPI 1104808435

Title

Owner

Phone

(314) 398-5800

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tjode M Mickelson, D.C

  • Chiropractor
  • Festus, MO
  • NPI 1104808435
  Authorized official Same address or phone

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505952000000",
    "number": "1952810996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 THOMAS DRIVE",
            "address_2": "APT 209",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "56001",
            "telephone_number": "314-398-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SOUTH FRONT STREET",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "56001",
            "telephone_number": "507-594-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATO PHYSICAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2017-09-21",
        "status": "A",
        "authorized_official_last_name": "MICKELSON",
        "authorized_official_first_name": "TJODE",
        "authorized_official_middle_name": "MAURETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-398-5800"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Randish Kapoor, M.D.
• Kaveh Karimnejad, M.D.
• Manasa Karumuri, M.D.
• Kato Cab, Inc.
• Kato Family Chiropractic, P.a.
• Kato Public Charter School
• Kato Vision Inc (pearle vision)
• Macy Kaufenberg, MD
• Robin R Kaufman
• Lakhvir Kaur, D.O.

• Chiropractor in Mankato, MN
• Providers in Mankato, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2017; 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.