Theresa Plasencia Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5930 Issued in MN

Legal business name

THERESA PLASENCIA PHYSICAL THERAPY, INC.

Practice address

1030 County Road E W
Suite 240
Shoreview, MN 55126-8152

Phone

(651) 493-0626

Fax

(651) 493-8463

NPI assigned

Aug 29, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Theresa Irene Plasencia, RPTNPI 1770616849

Title

Owner

Phone

(651) 246-2087

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theresa Irene Plasencia, P.T.

  • Orthopedic Physical Therapist
  • Shoreview, MN
  • NPI 1770616849
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1194919571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 COUNTY ROAD E W",
            "address_2": "SUITE 240",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268152",
            "telephone_number": "651-493-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 COUNTY ROAD E W",
            "address_2": "SUITE 240",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268152",
            "telephone_number": "651-493-0626",
            "fax_number": "651-493-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA PLASENCIA PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "PLASENCIA",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-246-2087",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "5930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Telephoneme Therapies LLC
• James William Templeton, MSW
• Nicole Tetrault, OTR
• Sheng Thao, MS, RDN
• Rachel Marie Theis, D.C.
• Marissa Thornquist
• Thrivebridge Wellness LLC
• Ashley Tobias, MS, LGSW
• Maria E Tonn, OT
• Megan Traxler, PHARMD

• Physical Therapist in Shoreview, MN
• Providers in Shoreview, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.