Active NPI
Mikayla Foerster
- Physical Therapist
- Saint Paul, MN
National Provider Identifier
1265162242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12894
- Practice address
- 2399 Ariel St N Ste a
Saint Paul, MN 55109-2202 - Phone
- (651) 773-0354
- NPI assigned
- Jun 13, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-07052 | KS | |
| Physical Therapist | 225100000X | 12894 | MN | Primary |
Addresses
Primary practice location
2399 Ariel St N Ste a
Saint Paul, MN 55109-2202
Mailing address
7623 Southridge LN
Savage, MN 55378-2549
Phone (785) 294-2113
Other practice location 1
218 E Pack St
Moundridge, KS 67107-8815
Phone (620) 345-6391
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-07052 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Theraplay, LLC | Physical Therapist | Current | Accepting new patients |
| Associated Speech and Language Specialists LLC | Past | Accepting new patients |
Locations
3021 Harbor Ln N
Ste 120
Plymouth, MN 55447
Phone (651) 773-0354
2399 Ariel St N
Ste A
Saint Paul, MN 55109
Phone (651) 773-0354
Organizations & group practices 2
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.
-
- Pediatric Occupational Therapist
- Maplewood, MN
- NPI 1215104393
Physical Therapist
-
- Speech-Language Pathologist
- St Paul, MN
- NPI 1881636223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678320000000",
"number": "1265162242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7623 SOUTHRIDGE LN",
"city": "SAVAGE",
"state": "MN",
"postal_code": "553782549",
"telephone_number": "785-294-2113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2399 ARIEL ST N STE A",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551092202",
"telephone_number": "651-773-0354"
}
],
"practiceLocations": [
{
"address_1": "218 E Pack St",
"address_purpose": "LOCATION",
"city": "Moundridge",
"state": "KS",
"postal_code": "671078815",
"country_code": "US",
"telephone_number": "620-345-6391",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOERSTER",
"first_name": "MIKAYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-13",
"last_updated": "2023-03-09",
"certification_date": "2023-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-07052",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "12894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.