Individual provider Active NPI

Andrew William Dehnel, PT

  • Physical Therapist
  • Shakopee, MN
National Provider Identifier
1144980392
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12449 Issued in MN
Practice address
1601 St Francis Ave. Suite 200
Shakopee, MN 55379
Phone
(952) 428-2001
Fax
(952) 428-3807
NPI assigned
Dec 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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 12449 MN Primary

Addresses

Primary practice location

1601 St Francis Ave. Suite 200
Shakopee, MN 55379

Mailing address

311 Harvard St SE Unit 2002
Minneapolis, MN 55414-4309
Phone (715) 212-6971

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Andrew.Dehnel@allina.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220725001981 WI Practitioner - Other (Non-Physician) 6608257415 Reassigns benefits to 1 organization
I20241111001060 WI Practitioner - Physical Therapist in Private Practice 6608257415 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Wausau Hospital, Inc. CurrentSince Aug 29, 2022 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Aug 29, 2022 Accepting new patients
Aspirus Wausau Hospital, Inc. Current Accepting new patients
Aspirus Wausau Hospital, Inc CurrentSince Aug 29, 2024 Accepting new patients
Aspirus Medical Group, Inc. Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

3200 Westhill Dr
Ste 100
Wausau, WI 54401
Phone (715) 843-1058

Interoperability endpoints

  • Direct secure messaging: andrew.dehnel@allina.com

Organizations & group practices 5

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": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1144980392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 HARVARD ST SE UNIT 2002",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554144309",
            "telephone_number": "715-212-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 ST FRANCIS AVE. SUITE 200",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "55379",
            "telephone_number": "952-428-2001",
            "fax_number": "952-428-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHNEL",
        "first_name": "ANDREW",
        "middle_name": "WILLIAM",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "12449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Andrew.Dehnel@allina.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "1601 St Francis Ave. Suite 200",
            "city": "Shakopee",
            "state": "MN",
            "country_code": "US",
            "postal_code": "55379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shakopee, MN

Sources for this page

Verify at the official NPI Registry.