Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristina Taraba, PT, DPT, CSCS

Individual provider Physical Therapist · NPI 1124677398

Kristina Taraba, PT, DPT, CSCS is a Physical Therapist in Private Practice in Rochester, Minnesota. Qualified in 2019, 7 years ago. Practices with Activept, Corp, a 77-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
7
Licensed in
MO
In the registry since
2019
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3100 19th St NW Ste 200
Rochester, MN 55901-6606
Phone: (507) 322-3460
Fax: (507) 322-3450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2019030173 (MO)

Record details

NPI number1124677398
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT , CSCS
Sole proprietorNo
NPI enumeratedSeptember 10, 2019
Last updated in NPPESMay 20, 2021
Certification dateMay 20, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Activept, Corp. — 77 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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