Active NPI
Traci Marie Arens, PT
- Geriatric Physical Therapist
- Saint Paul, MN
National Provider Identifier
1124133376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 5837
- Practice address
- 20 Thompson Ave E Ste 203
Saint Paul, MN 55118-3189 - Phone
- (651) 554-7669
- NPI assigned
- Aug 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 5837 | MN | Primary |
Addresses
Primary practice location
20 Thompson Ave E Ste 203
Saint Paul, MN 55118-3189
Mailing address
590 Newman TRL
Stillwater, MN 55082-4529
Phone (651) 342-0113
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 |
|---|---|---|---|
| 5837 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Dizzy & Balance Center,LTD. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- Bloomington, MN
- NPI 1023021938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124133376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 NEWMAN TRL",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550824529",
"telephone_number": "651-342-0113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 THOMPSON AVE E STE 203",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551183189",
"telephone_number": "651-554-7669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARENS",
"first_name": "TRACI",
"middle_name": "MARIE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "MN",
"license": "5837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
- Rannon Joseph Arch, MA, LPCC
- Megan Elizabeth Archer, OTR/L
- Area Network Transportation Services, LLC
- Laura Area, PT, DPT
- Arendal Dental Clinic
- Arete Networks of Minnesota LLC
- Karen Lynn Argo, RN
- Aimee Jo Sitzer Arikian, PH.D., LP
- Arise Community Supports Corp (Arise Community Supports)
- Arise Service LLC
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.