Individual provider Active NPI

Mikayla Foerster

  • Physical Therapist
  • Saint Paul, MN
National Provider Identifier
1265162242
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12894 Issued in MN
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

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20230310001103 MN Practitioner - Physical Therapist in Private Practice 3577936624 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-07052KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Theraplay, LLC Physical Therapist CurrentSince Nov 29, 2022 Accepting new patients
Associated Speech and Language Specialists LLC PastSince Nov 29, 2022 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.

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.

Verify at the official NPI Registry.