Andrea Newport, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6548 Issued in MN

Practice address

12217 Champlin Dr
Champlin, MN 55316-1930

Phone

(763) 323-1492

Fax

(763) 422-1657

NPI assigned

Oct 6, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1508953126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12217 CHAMPLIN DR",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553161930",
            "telephone_number": "763-323-1492",
            "fax_number": "763-422-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12217 CHAMPLIN DR",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553161930",
            "telephone_number": "763-323-1492",
            "fax_number": "763-422-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWPORT",
        "first_name": "ANDREA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "6548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Murphy, PHARMD.
• Nas Healthcare Center
• Cheri M Nelson
• Emily Margaret Nelson, CNP
• Andrea M Newbauer
• Laura Truc Nguyen, M.D.
• Lori Ann Niesen, CD(DONA)
• Shara Richelle Nolte, R.N.
• Christine L Nordell, MS CCC SLP
• N Evita Norman, PT, MS

• Physical Therapist in Champlin, MN
• Providers in Champlin, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.