Active NPI
Kyle H Baxter, DPT
- Physical Therapist
- St Louis Park, MN
National Provider Identifier
1992010425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8907
- Practice address
- 5775 Wayzata Blvd
St Louis Park, MN 55416-1222 - Phone
- (952) 467-6629
- NPI assigned
- Aug 9, 2010
- Sex
- Male
- 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 | 8907 | MN | Primary |
Addresses
Primary practice location
5775 Wayzata Blvd
St Louis Park, MN 55416-1222
Mailing address
5775 Wayzata Blvd
St Louis Park, MN 55416-1222
Phone (952) 467-6629
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waypoint Minnesota PC | Current | Accepting new patients |
Locations
11995 Singletree Ln
Ste 120
Eden Prairie, MN 55344
Phone (952) 373-5720
5775 Wayzata Blvd
Ste 900
St Louis Park, MN 55416
Phone (952) 292-5760
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.
-
- Chiropractor
- Maple Grove, MN
- NPI 1699112805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456876800000",
"number": "1992010425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5775 WAYZATA BLVD",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554161222",
"telephone_number": "952-467-6629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5775 WAYZATA BLVD",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554161222",
"telephone_number": "952-467-6629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAXTER",
"first_name": "KYLE",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-09",
"last_updated": "2016-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "8907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.