Courtney Elizabeth Tingum, DPT, CLT-LANA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9759 Issued in MN

Practice address

1284 Corporate Center Dr Ste 500
Eagan, MN 55121-1280

Phone

(612) 775-2940

NPI assigned

May 2, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: ctingum399205@excellian.direct.allina.com

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1225527625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1284 CORPORATE CENTER DR STE 500",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211280",
            "telephone_number": "612-775-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1284 CORPORATE CENTER DR STE 500",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211280",
            "telephone_number": "612-775-2940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7555 Bailey Rd",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551299610",
            "country_code": "US",
            "telephone_number": "651-209-9160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TINGUM",
        "first_name": "COURTNEY",
        "middle_name": "ELIZABETH",
        "credential": "DPT, CLT-LANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "9759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jo Tierney, OTRL
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• Meghan Tift
• Hope Joyesha Tims
• Jacqueline Tinajero, PA-C
• Megan Titcomb, CD, CH
• Ashish K Tiwari, M.D.
• Peter Nathaniel Toensing, MD
• Rhiannon Nicole Tofaha
• Toh-Eng Lim, DDS (Eagan Dental clinic)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.