Active NPI
Anthony P Hoerner, PTA
- Physical Therapy Assistant
- Waconia, MN
National Provider Identifier
1497300131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A1649
- Practice address
- 333 W 5TH St
Waconia, MN 55387-1720 - Phone
- (952) 442-7363
- NPI assigned
- Aug 8, 2019
- 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 Therapy Assistant | 225200000X | A1649 | MN | Primary |
Addresses
Primary practice location
333 W 5TH St
Waconia, MN 55387-1720
Mailing address
516 Monroe St SE
Hutchinson, MN 55350-2920
Phone (605) 290-7716
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1649 | MN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744848000000",
"number": "1497300131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 MONROE ST SE",
"city": "HUTCHINSON",
"state": "MN",
"postal_code": "553502920",
"telephone_number": "605-290-7716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 W 5TH ST",
"city": "WACONIA",
"state": "MN",
"postal_code": "553871720",
"telephone_number": "952-442-7363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOERNER",
"first_name": "ANTHONY",
"middle_name": "P",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-08",
"last_updated": "2025-04-17",
"certification_date": "2025-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MN",
"license": "A1649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waconia, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.