Individual provider Active NPI

Anthony Richard Palmer, DPT

  • Physical Therapist
  • Golden Valley, MN
National Provider Identifier
1083023477
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9737 Issued in MN
Practice address
8301 Golden Valley Rd Ste 202
Golden Valley, MN 55427-4475
Phone
(763) 533-0541
NPI assigned
Aug 11, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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 9737 MN Primary

Addresses

Primary practice location

8301 Golden Valley Rd Ste 202
Golden Valley, MN 55427-4475

Mailing address

1307 Lakeview Ave
Mendota Heights, MN 55120-1207
Phone (763) 486-6516

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141015000169 MN Practitioner - Physical Therapist in Private Practice 3779704804 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Minnesota Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

Practice addresses (Care Compare)

14500 99TH Ave N
Suite 210
Maple Grove, MN 55369-4739
Phone (763) 898-1770

1700 University Ave W
Saint Paul, MN 55104-3727
Phone (855) 324-7843

290 Main St NW
Suite 100
Elk River, MN 55330-1251
Phone (763) 241-5800

717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
75.41
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
Fairview Express Care CurrentSince Feb 19, 2021 Accepting new patients
Fairview Express Care CurrentSince Feb 19, 2021 Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Express Care CurrentSince Aug 18, 2014 Accepting new patients
Fairview Health Services CurrentSince Aug 18, 2014 Accepting new patients

Locations

15650 Cedar Ave
Ste 160
Apple Valley, MN 55124
Phone (952) 997-4170

1750 105th Ave NE
Blaine, MN 55449
Phone (763) 780-0356

6545 France Ave S
Ste 450A
Edina, MN 55435
Phone (952) 920-8525

6341 University Ave NE
Ste 104
Fridley, MN 55432
Phone (763) 572-4946

8301 Golden Valley Rd
Ste 202
Golden Valley, MN 55427
Phone (763) 257-1114

14712 Victor Hugo Blvd N
Hugo, MN 55038
Phone (651) 466-1900

14500 99th Ave N
Ste 210
Maple Grove, MN 55369
Phone (763) 898-1770

14500 99th Ave N
Ste 1210
Maple Grove, MN 55369
Phone (763) 898-1778

12000 Elm Creek Blvd N
Ste 120
Maple Grove, MN 55369
Phone (763) 420-9960

14500 99th Ave N
Maple Grove, MN 55369
Phone (763) 898-1000

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

10000 Zane Ave N
Minneapolis, MN 55443
Phone (763) 528-6999

3033 Excelsior Blvd
Ste 225
Minneapolis, MN 55416
Phone (612) 672-7000

600 W 98th St
Ste 390
Minneapolis, MN 55420
Phone (952) 460-4900

400 Stinson Blvd
#2
Minneapolis, MN 55413
Phone (612) 672-2294

2600 39th Ave NE
Ste 220
Saint Anthony, MN 55421
Phone (612) 672-7100

Organizations & group practices 12

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": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407715200000",
    "number": "1083023477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 LAKEVIEW AVE",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201207",
            "telephone_number": "763-486-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 GOLDEN VALLEY RD STE 202",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274475",
            "telephone_number": "763-533-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "ANTHONY",
        "middle_name": "RICHARD",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "9737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.