Alisse Zignego

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

9689 Issued in MN

Practice address

2945 Hazelwood St Ste 320
Maplewood, MN 55109-1244

Phone

(612) 273-6228

NPI assigned

Aug 20, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Alisse Indrelie Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1063811552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 WHITE BEAR AVE N STE 108A",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 HAZELWOOD ST STE 320",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091244",
            "telephone_number": "612-273-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIGNEGO",
        "first_name": "ALISSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-20",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "MN",
            "license": "9689",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MN",
            "license": "9689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISSE",
            "last_name": "INDRELIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maxwell Zell, PA
• Carol Elizabeth Zempel, PHD LP
• Zero Distance Acupuncture LLC
• Xiaopeng P Zhang, MD
• Jason Brian Ziemer, DDS
• Ashley Marie Zilles, D.O.
• Rachel Zilles
• Mary K. Zwack, M.S., LADC, LMFT

• Orthopedic Physical Therapist in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Orthopedic Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.