Mercedes Fonseca Cordoba, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6011 Issued in MN

Practice address

2450 26TH Ave S
Minneapolis, MN 55406-1245

Phone

(612) 721-2491

Fax

(612) 728-2400

NPI assigned

Dec 10, 2008

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228867200000",
    "number": "1073758686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 26TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061245",
            "telephone_number": "612-721-2491",
            "fax_number": "612-728-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 26TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061245",
            "telephone_number": "612-721-2491",
            "fax_number": "612-728-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONSECA CORDOBA",
        "first_name": "MERCEDES",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-10",
        "last_updated": "2008-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "6011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maggie Jean Foltz
• Kingsly Fombe
• Fond Du Lac Reservation Business Committee
• Jenesis Hope Fonder, CHW
• Yaneve N Fonge
• Patricia Lynn Fontaine, M.D.
• Lauren Fontana, D.O.
• Lisa Simone Foo, PHD,LP
• Faye Katherine Foote, MA, LPCC
• Jose Antonio Foppiani, MD

• Physical Therapist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; 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.