Christie Jane Thames Amundson, PT, DPT, PRC, HFS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8453 Issued in MN

Practice address

1600 University Ave W
Suite 10
Saint Paul, MN 55104-3898

Phone

(651) 999-1029

Fax

(651) 641-0726

NPI assigned

Aug 6, 2007

Last updated

Aug 2, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Christie Jane Thames Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Impact Physical Medicine

  • Clinic/Center
  • Saint Paul, MN
  • NPI 1689021586
  NPD

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1467643429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 UNIVERSITY AVE W",
            "address_2": "SUITE 10",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043898",
            "telephone_number": "651-999-1029",
            "fax_number": "651-641-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 UNIVERSITY AVE W",
            "address_2": "SUITE 10",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043898",
            "telephone_number": "651-999-1029",
            "fax_number": "651-641-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMUNDSON",
        "first_name": "CHRISTIE",
        "middle_name": "JANE THAMES",
        "credential": "PT, DPT, PRC, HFS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "8453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIE",
            "last_name": "THAMES",
            "middle_name": "JANE",
            "credential": "PT, DPT, PRC, HFS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kofi Nyanor Amoh
• Heidi Lynn Amoth, LGSW
• Nagmo Amoud
• Amstutz & Boren Chiropractic LLC (Bridging Health Chiropractic)
• James Amundsen, PHD
• Craig W Amundson, DDN
• Elin Amundson, LICSW
• Leah Ann Amundson, PT
• Paul Amundson, D.D.S
• William Hoyt Amundson, M.D.

• Physical Therapist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.