Active NPI
Elaine Macalena, LPT
- Physical Therapist
- Buffalo, MN
National Provider Identifier
1508958869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1405
- Practice address
- 101 A 14TH Street NE
Buffalo, MN 55313 - Phone
- (763) 684-3880
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- 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 | 1405 | MN | Primary |
Addresses
Primary practice location
101 A 14TH Street NE
Buffalo, MN 55313
Mailing address
611 Willow Creek LN
Buffalo, MN 55313-2118
Other practice location 1
182 Sunset Ave NW
Cokato, MN 55321-9620
Phone (763) 689-5385
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 616055700 | Medicaid | MN | |
| 6402073 | Other | MN | MEDICA |
| 47G20MA | Other | MN | BCBS |
| HP45831 | Other | MN | HEALTH PARTNERS |
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 |
|---|---|---|---|
| 1405 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584662400000",
"number": "1508958869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 WILLOW CREEK LN",
"city": "BUFFALO",
"state": "MN",
"postal_code": "553132118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 A 14TH STREET NE",
"city": "BUFFALO",
"state": "MN",
"postal_code": "55313",
"telephone_number": "763-684-3880"
}
],
"practiceLocations": [
{
"address_1": "182 Sunset Ave NW",
"address_purpose": "LOCATION",
"city": "Cokato",
"state": "MN",
"postal_code": "553219620",
"country_code": "US",
"telephone_number": "763-689-5385",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACALENA",
"first_name": "ELAINE",
"credential": "LPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2020-03-20",
"certification_date": "2020-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "1405",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "616055700",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "6402073",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "47G20MA",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP45831",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.