Active NPI
Denis Patrick McCarren, PT
- Physical Therapist
- Saint Paul, MN
National Provider Identifier
1114030715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6813
- Practice address
- 1295 Bandana Blvd N
#235
Saint Paul, MN 55108-5126 - Phone
- (651) 646-6577
- NPI assigned
- Aug 16, 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 | 6813 | MN | Primary |
Addresses
Primary practice location
1295 Bandana Blvd N
#235
Saint Paul, MN 55108-5126
Mailing address
4024 Harriet Ave
Minneapolis, MN 55409-1441
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6813 | MN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114030715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4024 HARRIET AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554091441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1295 BANDANA BLVD N",
"address_2": "#235",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551085126",
"telephone_number": "651-646-6577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARREN",
"first_name": "DENIS",
"middle_name": "PATRICK",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "6813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.