Kristen Doherty

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8430 Issued in MN

Practice address

2635 Kelley Pkwy
Orono, MN 55356-4556

Phone

(952) 200-0585

NPI assigned

Sep 29, 2026

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1962316083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 MAGNOLIA DR",
            "city": "MEDINA",
            "state": "MN",
            "postal_code": "553409015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 KELLEY PKWY",
            "city": "ORONO",
            "state": "MN",
            "postal_code": "553564556",
            "telephone_number": "952-200-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "8430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aegis Group Practice LLC
• Karl G Berg, D.D.S.
• Christina McCullough DDS PLLC
• Melissa Beth Cummings, APN-FNP-C
• Heidi Leigh Foster, M.D.
• Nicholas John Froehling, DC
• Brianna B. Hammer, D.D.S.
• Kraig Kottemann, D.M.D., M.S.
• William Maclachlan

• Physical Therapist in Orono, MN
• Providers in Orono, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.