Individual provider Active NPI

Melissa Pearl Cimfl

  • Physical Therapy Assistant
  • Saint Paul, MN
National Provider Identifier
1265715239
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A1464 Issued in MN
Practice address
445 Galtier St
Therapy Dept
Saint Paul, MN 55103-2358
Phone
(651) 251-3357
NPI assigned
Sep 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A1464 MN Primary

Addresses

Primary practice location

445 Galtier St
Therapy Dept
Saint Paul, MN 55103-2358

Mailing address

430 Mendota Rd W Apt 118
West St Paul, MN 55118-4758
Phone (715) 641-0963

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A1464MNMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1265715239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 MENDOTA RD W APT 118",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551184758",
            "telephone_number": "715-641-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 GALTIER ST",
            "address_2": "THERAPY DEPT",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551032358",
            "telephone_number": "651-251-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIMFL",
        "first_name": "MELISSA",
        "middle_name": "PEARL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A1464",
            "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 Sep 26, 2011; 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.