Individual provider Active NPI

Elizabeth Anne Lindberg, DPT

  • Physical Therapist
  • Rogers, MN
National Provider Identifier
1316600398
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12417 Issued in MN
Practice address
13690 Rogers Dr Ste 180
Rogers, MN 55374-9309
Phone
(763) 432-9866
NPI assigned
Oct 18, 2021
Last updated
Feb 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12417 MN Primary

Addresses

Primary practice location

13690 Rogers Dr Ste 180
Rogers, MN 55374-9309

Mailing address

13690 Rogers Dr Ste 180
Rogers, MN 55374-9309
Phone (763) 432-9866

Other names 1

  • Elizabeth Anne Reinert Former name

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

State licenses

LicenseStateTypeSpecialty
12417MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
DMR Clinic Rogers LLC CurrentSince Sep 27, 2021 Accepting new patients

Locations

9000 Quantrelle Ave NE
Ste 240
Otsego, MN 55330
Phone (612) 432-9866

13690 Rogers Dr
Ste 180
Rogers, MN 55374
Phone (612) 670-9026

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1316600398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13690 ROGERS DR STE 180",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553749309",
            "telephone_number": "763-432-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13690 ROGERS DR STE 180",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553749309",
            "telephone_number": "763-432-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDBERG",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "12417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "REINERT",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rogers, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.