Active NPI
Martha Anne Swenson, PT
- Physical Therapist
- Minneapolis, MN
National Provider Identifier
1063573244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5461
- Practice address
- 900 S 8TH St
B3.030
Minneapolis, MN 55404-1204 - Phone
- (612) 873-4377
- Fax
- (612) 904-4377
- NPI assigned
- Dec 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5461 | MN | Primary |
Addresses
Primary practice location
900 S 8TH St
B3.030
Minneapolis, MN 55404-1204
Mailing address
5475 Carlson Rd
Saint Paul, MN 55126-1216
Phone (651) 484-5821
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5461 | Other | MN | PHYSICAL THERAPY LICENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5461 | MN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300665600000",
"number": "1063573244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5475 CARLSON RD",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551261216",
"telephone_number": "651-484-5821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 S 8TH ST",
"address_2": "B3.030",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554041204",
"telephone_number": "612-873-4377",
"fax_number": "612-904-4377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWENSON",
"first_name": "MARTHA",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2011-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "5461",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENCE",
"identifier": "5461",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.