Active NPI
Anna Marie Jennison, P.T.
- Physical Therapist
- Apple Valley, MN
National Provider Identifier
1124103163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7737
- Practice address
- 14655 Galaxie Ave
Suite 160
Apple Valley, MN 55124-8575 - Phone
- (952) 431-5353
- Fax
- (952) 431-5623
- NPI assigned
- Oct 26, 2006
- Sex
- Female
- 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 | 7737 | MN | Primary |
Addresses
Primary practice location
14655 Galaxie Ave
Suite 160
Apple Valley, MN 55124-8575
Mailing address
18522 Elk River Trail
Farmington, MN 55024
Phone (651) 815-7493
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7737 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124103163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18522 ELK RIVER TRAIL",
"city": "FARMINGTON",
"state": "MN",
"postal_code": "55024",
"telephone_number": "651-815-7493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14655 GALAXIE AVE",
"address_2": "SUITE 160",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551248575",
"telephone_number": "952-431-5353",
"fax_number": "952-431-5623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNISON",
"first_name": "ANNA",
"middle_name": "MARIE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "7737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Apple Valley, 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.