Active NPI
Anthony Joseph Vertalino, P.T.
- Physical Therapist
- Blaine, MN
National Provider Identifier
1669572061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7464
- Practice address
- 10961 Club West Pkwy
Blaine, MN 55449-4671 - Phone
- (763) 572-5710
- Fax
- (763) 528-2945
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- 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 | 7464 | MN | Primary |
Addresses
Primary practice location
10961 Club West Pkwy
Blaine, MN 55449-4671
Mailing address
6401 University Ave NE
Fridley, MN 55432-4341
Phone (763) 572-5710
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6404989 | Other | MN | MEDICA |
| 373L9VE | Other | MN | BCBS OF MN |
| HP47870 | Other | MN | HEALTHPARTNERS |
| 2204727 | Other | MN | AMERICA'S PPO |
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 |
|---|---|---|---|
| 7464 | MN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669572061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6401 UNIVERSITY AVE NE",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554324341",
"telephone_number": "763-572-5710",
"fax_number": "763-571-3008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10961 CLUB WEST PKWY",
"city": "BLAINE",
"state": "MN",
"postal_code": "554494671",
"telephone_number": "763-572-5710",
"fax_number": "763-528-2945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERTALINO",
"first_name": "ANTHONY",
"middle_name": "JOSEPH",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "7464",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "6404989",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MN",
"identifier": "373L9VE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP47870",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S PPO",
"identifier": "2204727",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Blaine, MN
- Vascular Surgery Associates PA
- Vaughn Chiropractic PLLC (Healthsource of Blaine Chiropractic & Progressive Rehab)
- Robert Lloyd Vaughn III, D.C. ATC. ATR
- Leonard Verbeke
- Verdan PA (Community Chiropractic Center)
- Victory Transport North
- Vision World Inc (Vision World)
- Visionworks, Inc. (Visionworks)
- Vital Agency LLC
- Suzette Vizenor
Sources for this page
- 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.