Individual provider Active NPI

Melissa L Vanderlinde, DPT

  • Physical Therapist
  • Elk River, MN
National Provider Identifier
1396517397
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13279 Issued in MN
Practice address
1000 School St NW Ste 109
Elk River, MN 55330-1337
Phone
(763) 400-7438
Fax
(866) 881-6769
NPI assigned
Oct 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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 13279 MN Primary

Addresses

Primary practice location

1000 School St NW Ste 109
Elk River, MN 55330-1337

Mailing address

1000 School St NW Ste 109
Elk River, MN 55330-1337
Phone (763) 400-7438

Other practice location 1

3650 Plymouth Blvd Ste 100
Plymouth, MN 55446-3201
Phone (763) 400-7438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240105001010 MN Practitioner - Physical Therapist in Private Practice 3779934559 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Merz, Inc.Group PAC ID 3173418456, 4 clinicians

Practice addresses (Care Compare)

15000 Minnetonka Blvd
Minnetonka, MN 55345-1506
Phone (952) 935-4037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ibackcheck Physical Therapy, PLLC Physical Therapist CurrentSince Dec 2, 2024 Accepting new patients
Infinite Health Collaborative, PA Past Accepting new patients

Locations

1000 School St NW
Ste 109
Elk River, MN 55330
Phone (763) 400-7438

3650 Plymouth Blvd
Ste 100
Plymouth, MN 55446
Phone (763) 400-7438

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1396517397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SCHOOL ST NW STE 109",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301337",
            "telephone_number": "763-400-7438",
            "fax_number": "866-881-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SCHOOL ST NW STE 109",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301337",
            "telephone_number": "763-400-7438",
            "fax_number": "866-881-6769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3650 Plymouth Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MN",
            "postal_code": "554463201",
            "country_code": "US",
            "telephone_number": "763-400-7438",
            "fax_number": "866-881-6769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDERLINDE",
        "first_name": "MELISSA",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-24",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "13279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk River, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.