Active NPI
Robert A Elveru, PT
- Physical Therapist
- Elk River, MN
National Provider Identifier
1477528032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2031
- Practice address
- 555 Railroad Dr NW
Suite 102
Elk River, MN 55330-1463 - Phone
- (763) 441-8111
- Fax
- (763) 441-9015
- NPI assigned
- Feb 17, 2006
- Sex
- Male
- 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 | 2031 | MN | Primary |
Addresses
Primary practice location
555 Railroad Dr NW
Suite 102
Elk River, MN 55330-1463
Mailing address
9943 165TH Ave NW
Elk River, MN 55330-6301
Phone (763) 424-1218
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2031 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477528032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9943 165TH AVE NW",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553306301",
"telephone_number": "763-424-1218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 RAILROAD DR NW",
"address_2": "SUITE 102",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553301463",
"telephone_number": "763-441-8111",
"fax_number": "763-441-9015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELVERU",
"first_name": "ROBERT",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "2031",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.