Active NPI
Maggie Sarah Sortedahl-Lopac, PT, DPT
- Physical Therapist
- Minneapolis, MN
National Provider Identifier
1659805745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10159
- Practice address
- 2800 Chicago Ave
Suite 102
Minneapolis, MN 55407-1318 - Phone
- (612) 863-4446
- NPI assigned
- Apr 14, 2017
- 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 | 10159 | MN | Primary |
Addresses
Primary practice location
2800 Chicago Ave
Suite 102
Minneapolis, MN 55407-1318
Mailing address
412 Quinmore Ave N
Lakeland, MN 55043-9647
Phone (651) 278-2441
Other names 1
- Maggie Sarah Lopac
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | maggie.sorteedahl-lopac@allina.com | Direct |
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 |
|---|---|---|---|
| 10159 | MN | MD | Physician Assistant |
Interoperability endpoints
- msortedahllopac267504@excellian.direct.allina.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585785600000",
"number": "1659805745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 QUINMORE AVE N",
"city": "LAKELAND",
"state": "MN",
"postal_code": "550439647",
"telephone_number": "651-278-2441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 CHICAGO AVE",
"address_2": "SUITE 102",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071318",
"telephone_number": "612-863-4446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORTEDAHL-LOPAC",
"first_name": "MAGGIE",
"middle_name": "SARAH",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-14",
"last_updated": "2020-04-02",
"certification_date": "2020-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "10159",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "maggie.sorteedahl-lopac@allina.com",
"affiliation": "N",
"endpointDescription": "work/company email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2800 Chicago Ave",
"address_2": "Suite 102",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554071318",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MAGGIE",
"last_name": "LOPAC",
"middle_name": "SARAH",
"credential": "PT, DPT",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.