Individual provider Active NPI

Hannah Mae Stefani, PT

  • Physical Therapist
  • Eden Prairie, MN
National Provider Identifier
1043864234
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11495 Issued in MN
Practice address
6485 City West Pkwy
Eden Prairie, MN 55344-3246
Phone
(952) 933-1150
Fax
(952) 930-3304
NPI assigned
Jul 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11495 MN Primary

Addresses

Primary practice location

6485 City West Pkwy
Eden Prairie, MN 55344-3246

Mailing address

6485 City West Pkwy
Eden Prairie, MN 55344-3246
Phone (952) 933-1150

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190805001511 MN Practitioner - Physical Therapist in Private Practice 8022345701 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott Chiropractic Clinic PLLCGroup PAC ID 8921282963, 4 clinicians

Practice addresses (Care Compare)

15067 Crestone Ave W
Rosemount, MN 55068-4586
Phone (952) 322-4440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11495MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Chiropractic Clinic PLLC CurrentSince Jul 14, 2025 Accepting new patients
Wellspring Health Center PLLC CurrentSince Jul 26, 2019 Accepting new patients

Locations

6485 City West Pkwy
Eden Prairie, MN 55344
Phone (952) 933-1150

10903 Excelsior Blvd
Hopkins, MN 55343
Phone (952) 933-1150

15067 Crestone Ave W
Rosemount, MN 55068
Phone (952) 322-4440

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": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1043864234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6485 CITY WEST PKWY",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443246",
            "telephone_number": "952-933-1150",
            "fax_number": "952-930-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6485 CITY WEST PKWY",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443246",
            "telephone_number": "952-933-1150",
            "fax_number": "952-930-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANI",
        "first_name": "HANNAH",
        "middle_name": "MAE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-26",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "11495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.