Individual provider Active NPI

Ross Femrite

  • Physical Therapist
  • Woodbury, MN
National Provider Identifier
1477962298
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9664 Issued in MN
Practice address
9680 Tamarack Rd Ste 130
Woodbury, MN 55125-2623
Phone
(612) 273-1172
NPI assigned
Aug 6, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 9664 MN Primary

Addresses

Primary practice location

9680 Tamarack Rd Ste 130
Woodbury, MN 55125-2623

Mailing address

490 Highway 96 W
Suite 300
Shoreview, MN 55126-1960

Other practice location 1

490 Highway 96 W
Suite 300
Shoreview, MN 55126-1960
Phone (651) 451-3016

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181002004037 MN Practitioner - Physical Therapist in Private Practice 7214289263 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9664MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Abilities, Inc Physical Therapist CurrentSince Jan 17, 2023 Accepting new patients
Kids Abilities, Inc. CurrentSince Jan 17, 2023 Accepting new patients

Locations

4638 Victor Path
Ste 100
Hugo, MN 55038
Phone (651) 407-3777

490 Highway 96 W
Shoreview, MN 55126
Phone (651) 415-5490

490 Highway 96 W
Ste 300
Shoreview, MN 55126
Phone (651) 451-3016

Organizations & group practices 2

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": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1477962298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 HIGHWAY 96 W",
            "address_2": "SUITE 300",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551261960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9680 TAMARACK RD STE 130",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252623",
            "telephone_number": "612-273-1172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "490 Highway 96 W",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Shoreview",
            "state": "MN",
            "postal_code": "551261960",
            "country_code": "US",
            "telephone_number": "651-451-3016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEMRITE",
        "first_name": "ROSS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-06",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "9664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.

Verify at the official NPI Registry.