Individual provider Active NPI

Maggie Lynn Morley Henjum, DPT, OCS, FAAOMPT

  • Physical Therapist
  • Saint Paul, MN
National Provider Identifier
1003109943
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8777 Issued in MN
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

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Therapy Partners IncGroup PAC ID 4486552593, 135 clinicians

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

LicenseStateTypeSpecialty
8777MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Partners Inc Physical Therapist CurrentSince Jul 4, 2016 Accepting new patients
Therapy Partners, Inc. Physical Therapist CurrentSince Jul 4, 2016 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.

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.

Verify at the official NPI Registry.