Active NPI
Annette Louise Shirk, PT
- Orthopedic Physical Therapist
- Woodbury, MN
National Provider Identifier
1306190053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 5665
- Practice address
- 1825 Woodwinds Dr
Woodbury, MN 55125-2202 - Phone
- (651) 232-6865
- Fax
- (651) 232-6766
- NPI assigned
- Nov 2, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 5665 | MN | Primary |
Addresses
Primary practice location
1825 Woodwinds Dr
Woodbury, MN 55125-2202
Mailing address
1825 Woodwinds Dr
Woodbury, MN 55125-2202
Phone (651) 232-6865
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351814400000",
"number": "1306190053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 WOODWINDS DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551252202",
"telephone_number": "651-232-6865",
"fax_number": "651-232-6766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 WOODWINDS DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551252202",
"telephone_number": "651-232-6865",
"fax_number": "651-232-6766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRK",
"first_name": "ANNETTE",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-02",
"last_updated": "2012-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MN",
"license": "5665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.