Active NPI
Nicholas Daniel Biondich, PT
- Physical Therapist
- Roseville, MN
National Provider Identifier
1104862671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7374
- Practice address
- 1769 Lexington Ave N
286
Roseville, MN 55113-6522 - Phone
- (952) 835-4512
- NPI assigned
- Jun 21, 2006
- Sex
- Male
- 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 | 7374 | MN | Primary |
Addresses
Primary practice location
1769 Lexington Ave N
286
Roseville, MN 55113-6522
Mailing address
4621 E Superior St
Duluth, MN 55804-2338
Phone (218) 786-3550
Other practice location 1
1600 Miller Trunk Hwy Bldg C
Duluth, MN 55811-5640
Phone (218) 786-5360
Other practice location 2
400 E 3rd St
Duluth, MN 55805-1951
Phone (218) 786-8364
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Polinsky Medical Rehabilitation Center | Past | Accepting new patients | |
| Deer River Healthcare Center, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Critical Access Hospital
- Deer River, MN
- NPI 1225049018
-
- Rehabilitation Clinic/Center
- Duluth, MN
- NPI 1639237746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682553600000",
"number": "1104862671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4621 E SUPERIOR ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558042338",
"telephone_number": "218-786-3550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1769 LEXINGTON AVE N",
"address_2": "286",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551136522",
"telephone_number": "952-835-4512"
}
],
"practiceLocations": [
{
"address_1": "1600 Miller Trunk Hwy Bldg C",
"address_purpose": "LOCATION",
"city": "Duluth",
"state": "MN",
"postal_code": "558115640",
"country_code": "US",
"telephone_number": "218-786-5360",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 E 3rd St",
"address_purpose": "LOCATION",
"city": "Duluth",
"state": "MN",
"postal_code": "558051951",
"country_code": "US",
"telephone_number": "218-786-8364",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIONDICH",
"first_name": "NICHOLAS",
"middle_name": "DANIEL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "7374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.