Active NPI
Lynne K Farrell, PT, MED, CEEAA
- Physical Therapist
- Chanhassen, MN
National Provider Identifier
1629413661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1102
- Practice address
- 8024 Cheyenne Ave
Chanhassen, MN 55317-9767 - Phone
- (612) 202-0521
- NPI assigned
- May 3, 2013
- Sex
- Female
- 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 | 1102 | MN | Primary |
Addresses
Primary practice location
8024 Cheyenne Ave
Chanhassen, MN 55317-9767
Mailing address
8024 Cheyenne Ave
Chanhassen, MN 55317-9767
Phone (612) 202-0521
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1102 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367539200000",
"number": "1629413661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8024 CHEYENNE AVE",
"city": "CHANHASSEN",
"state": "MN",
"postal_code": "553179767",
"telephone_number": "612-202-0521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8024 CHEYENNE AVE",
"city": "CHANHASSEN",
"state": "MN",
"postal_code": "553179767",
"telephone_number": "612-202-0521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELL",
"first_name": "LYNNE",
"middle_name": "K",
"credential": "PT, MED, CEEAA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-03",
"last_updated": "2013-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "1102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chanhassen, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.