Active NPI
Amy Ann Maas, P.T.
- Physical Therapist
- Lakeville, MN
National Provider Identifier
1215227236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5474
- Practice address
- 17305 Cedar Ave S Ste 100
Lakeville, MN 55044-3902 - Phone
- (952) 851-6000
- NPI assigned
- Apr 11, 2011
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5474 | MN | Primary |
Addresses
Primary practice location
17305 Cedar Ave S Ste 100
Lakeville, MN 55044-3902
Mailing address
4540 Oak Pond Rd
Eagan, MN 55123-1990
Phone (651) 428-1016
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 |
|---|---|---|---|
| 5474 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicenter Physical Therapy, LLC | 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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Spring Lake Park, MN
- NPI 1346287158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404345600000",
"number": "1215227236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4540 OAK POND RD",
"city": "EAGAN",
"state": "MN",
"postal_code": "551231990",
"telephone_number": "651-428-1016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17305 CEDAR AVE S STE 100",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550443902",
"telephone_number": "952-851-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAAS",
"first_name": "AMY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-11",
"last_updated": "2014-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "5474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.