Amy Sue Andersen, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6280 Issued in MN

Practice address

1970 Oakcrest Ave
Suite 107
Roseville, MN 55113-2624

Phone

(651) 636-6330

NPI assigned

Nov 3, 2006

Last updated

Jul 31, 2008By the provider in NPPES

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

Enrolled in SC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fox Rehabilitation Services of South Carolina, LLC

  • Physical Therapist
  • Lexington, SC
  • NPI 1902133689
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217462400000",
    "number": "1063591840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7645 BEHM LN",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550142902",
            "telephone_number": "651-784-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 OAKCREST AVE",
            "address_2": "SUITE 107",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132624",
            "telephone_number": "651-636-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "AMY",
        "middle_name": "SUE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "6280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Academy of Traditional Chinese Medicine, Inc. (American Academy of Acupuncture and Oriental Medicine, Inc.)
• Anna Mary Ames Phillips
• Kathan Amin
• Ana Lab LLC
• Mahamed Anbaar
• Ruth Carol Anderson-Benge
• Ashley Christine Anderson, M.D.
• Christopher Stephen Anderson
• Clarissa J. Anderson, MA
• Donna Anderson, LICSW

• Physical Therapist in Roseville, MN
• Providers in Roseville, 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 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.