NPIMap

Organization Active NPI

Colleen Martens Endrizzi, Inc.

  • Physical Therapist
  • Shoreview, MN
National Provider Identifier
1346477635
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
COLLEEN MARTENS ENDRIZZI, INC.
Practice address
1030 County Road E W
Suite 240
Shoreview, MN 55126-8152
Phone
(651) 493-0626
NPI assigned
Jun 15, 2009
Last updated
May 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Authorized official

Name
Colleen Martens Endrizzi
Title
Ceo
Phone
(612) 554-5005

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

1030 County Road E W
Suite 240
Shoreview, MN 55126-8152

Mailing address

6311 Wayzata Blvd
St Louis Park, MN 55416-1209

National Provider Directory

National Provider Directory
Tax ID family
Colleen Martens Endrizzi in4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6311 Wayzata Blvd
St Louis Park, MN 55416

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1346477635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 WAYZATA BLVD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 COUNTY ROAD E W",
            "address_2": "SUITE 240",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268152",
            "telephone_number": "651-493-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEEN MARTENS ENDRIZZI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-15",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "MARTENS ENDRIZZI",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-554-5005"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreview, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.

Verify at the official NPI Registry.