Active NPI
Amy Jo Kusterman, PT, DPT
- Physical Therapist
- Maplewood, MN
National Provider Identifier
1427540921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11072
- Practice address
- 2515 White Bear Ave N Ste A11
Maplewood, MN 55109-5118 - Phone
- (651) 275-4706
- Fax
- (651) 779-9748
- NPI assigned
- May 31, 2018
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11072 | MN | Primary |
Addresses
Primary practice location
2515 White Bear Ave N Ste A11
Maplewood, MN 55109-5118
Mailing address
7581 9TH St N Ste 100
Oakdale, MN 55128-6635
Phone (651) 748-4338
Other practice location 1
7700 France Ave S Ste 240
Edina, MN 55435-5878
Phone (763) 201-8191
Other names 1
- Amy Jo Strafelda
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://pdrclinics.com/ | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180808002297 | MN | Practitioner - Physical Therapist in Private Practice | 2860740784 |
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": "1527724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626739200000",
"number": "1427540921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7581 9TH ST N STE 100",
"city": "OAKDALE",
"state": "MN",
"postal_code": "551286635",
"telephone_number": "651-748-4338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2515 WHITE BEAR AVE N STE A11",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551095118",
"telephone_number": "651-275-4706",
"fax_number": "651-779-9748"
}
],
"practiceLocations": [
{
"address_1": "7700 France Ave S Ste 240",
"address_purpose": "LOCATION",
"city": "Edina",
"state": "MN",
"postal_code": "554355878",
"country_code": "US",
"telephone_number": "763-201-8191",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUSTERMAN",
"first_name": "AMY",
"middle_name": "JO",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-31",
"last_updated": "2021-07-20",
"certification_date": "2021-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "11072",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://pdrclinics.com/",
"affiliation": "N",
"endpointDescription": "Website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7700 France Ave S Ste 240",
"city": "Edina",
"state": "MN",
"country_code": "US",
"postal_code": "554355878",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "AMY",
"last_name": "STRAFELDA",
"middle_name": "JO",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.