Andrea Catherine Mierau, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9034 Issued in MN

Practice address

1630 101St Ave NE Ste 160
Blaine, MN 55449-3403

Phone

(952) 345-3000

NPI assigned

May 29, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Andrea Catherine Johnson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1275893943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 W 81ST ST STE 112",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554371111",
            "telephone_number": "952-345-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 101ST AVE NE STE 160",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554493403",
            "telephone_number": "952-345-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIERAU",
        "first_name": "ANDREA",
        "middle_name": "CATHERINE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "9034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "JOHNSON",
            "middle_name": "CATHERINE",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• MFF Blaine LLC
• Midas Care LLC
• Midwest Foot and Ankle Specialists, LLC
• Midwest Medical Holdings, LLC
• Midwest Respiratory Care Inc.
• Agassi Mila
• Mina Skilled Nursing LLC
• Minnesota Eye Consultants, PA
• Minnesota Eye Laser & Surgery Centers, LLC
• Minnesota Health Homecare LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.