Active NPI
Parker Deutz, DPT
- Physical Therapist
- Maple Grove, MN
National Provider Identifier
1588012991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 9827 Maple Grove Pkwy N
Maple Grove, MN 55369-4491 - Phone
- (952) 993-5900
- NPI assigned
- May 26, 2016
- Last updated
- May 26, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
9827 Maple Grove Pkwy N
Maple Grove, MN 55369-4491
Mailing address
9827 Maple Grove Pkwy N
Maple Grove, MN 55369-4491
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10306 | MN | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464220800000",
"number": "1588012991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9827 MAPLE GROVE PKWY N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553694491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9827 MAPLE GROVE PKWY N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553694491",
"telephone_number": "952-993-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEUTZ",
"first_name": "PARKER",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-26",
"last_updated": "2016-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maple Grove, MN
- Dental Delivery Systems of Maple Grove LLC (Dental Associates of Maple Grove)
- Dental Specialists of Minnesota, PLLC (The Dental Specialists)
- Dentalign P.a.
- Derm on Demand LLC
- Phillip John Detlefsen, D.C.
- Karmen Rae Dezeeuw, ATC
- Sonia Anil Dhumne, DDS
- Safiatou Diallo
- Thaily Diaz Fleites, DDS
- Marie A Diaz Varona, PSYD, LP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.