Active NPI
Maggie Lynn Morley Henjum, DPT, OCS, FAAOMPT
- Physical Therapist
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8777
- Practice address
- 1939 Minnehaha Ave W Ste 100
Saint Paul, MN 55104-1033 - Phone
- (651) 348-7428
- Fax
- (651) 348-7432
- NPI assigned
- May 25, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | MN | ||
| Physical Therapist | 225100000X | 8777 | MN | Primary |
Addresses
Primary practice location
1939 Minnehaha Ave W Ste 100
Saint Paul, MN 55104-1033
Mailing address
1939 Minnehaha Ave W Ste 100
Saint Paul, MN 55104-1033
Phone (651) 348-7428
Other names 1
- Maggie Lynn Henjum
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111005000039 | MN | Practitioner - Physical Therapist in Private Practice | 8224200795 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1939 Minnehaha Ave W
Suite 100
Saint Paul, MN 55104-1033
Phone (651) 348-7428
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8777 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Partners Inc | Physical Therapist | Current | Accepting new patients |
| Therapy Partners, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
6529 Cecilia Cir
Edina, MN 55439
Phone (651) 348-7428
5959 Baker Rd
Ste 340
Minnetonka, MN 55345
Phone (651) 348-7428
10650 Red Circle Dr
Ste 10
Minnetonka, MN 55343
Phone (651) 348-7428
1939 Minnehaha Ave W
Ste 300
Saint Paul, MN 55104
1939 Minnehaha Ave W
Ste 100
Saint Paul, MN 55104
Phone (651) 348-7428
375 Selby Ave
Ste 63
Saint Paul, MN 55102
Phone (651) 348-7428
1270 Northland Dr
Ste 175
Saint Paul, MN 55120
Phone (651) 905-9000
1700 Tower Dr W
Stillwater, MN 55082
Phone (651) 275-4706
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Saint Paul, MN
- NPI 1407809494
MN, Physical Therapist
-
- Physical Therapist
- Forest Lake, MN
- NPI 1821179607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624233600000",
"number": "1003109943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1939 MINNEHAHA AVE W STE 100",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551041033",
"telephone_number": "651-348-7428",
"fax_number": "651-348-7432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1939 MINNEHAHA AVE W STE 100",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551041033",
"telephone_number": "651-348-7428",
"fax_number": "651-348-7432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORLEY HENJUM",
"first_name": "MAGGIE",
"middle_name": "LYNN",
"credential": "DPT, OCS, FAAOMPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-25",
"last_updated": "2021-06-21",
"certification_date": "2021-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "8777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAGGIE",
"last_name": "HENJUM",
"middle_name": "LYNN",
"credential": "DPT, OCS, FAAOMPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.