Heidi Marie Brottlund, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

640 Jackson St
Saint Paul, MN 55101-2502

Phone

(651) 254-3071

NPI assigned

Feb 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578603676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 23RD AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554183443",
            "telephone_number": "612-789-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 JACKSON ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012502",
            "telephone_number": "651-254-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROTTLUND",
        "first_name": "HEIDI",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark S. Brooks, DDS
• Michael Brooks
• Brookview Psychology & Consulting Services LLC
• Dawn M Brothers, PAC
• Sharina Brothers, N.D.
• Zoe Brown-Joel, MD
• Abigail Brown, MA, LADC
• Chandler Uriah Brown, MD
• Cheryl Ann Brown, RN
• Christopher Brown, MD

• Physical Therapy Assistant in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Physical Therapy Assistant in Minnesota

• 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.

Verify at the official NPI Registry.