Alice Mangen Engelhardt, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2119 Issued in MN

Practice address

640 Jackson Street
St. Paul, MN 55101-2595

Phone

(651) 254-2032

NPI assigned

Jan 24, 2007

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043365885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2772 IRENE CIR",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132328",
            "telephone_number": "651-484-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 JACKSON STREET",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "551012595",
            "telephone_number": "651-254-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELHARDT",
        "first_name": "ALICE",
        "middle_name": "MANGEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "2119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Grace Eng
• Laura M. Eng, D.D.S.
• Sandra Eng, PHD, LP
• Kenneth D Engberg, MD
• Grace Engel
• David Dwight Engelhardt, P.T.
• Holli Lynn Engelhart
• Jon Reynolds England, PA-C
• Jennifer Lynn Engle, PA-C
• David Engler

• Physical Therapist in St. Paul, MN
• Providers in St. Paul, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.