Individual provider Active NPI

Samantha Ann Manthey, PT, DPT

  • Physical Therapist
  • Ramsey, MN
National Provider Identifier
1679146344
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12212 Issued in MN
Practice address
7876 Sunwood Dr NW Ste 200
Ramsey, MN 55303-5178
Phone
(763) 283-5977
NPI assigned
Jul 21, 2021
Last updated
May 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12212 MN Primary

Addresses

Primary practice location

7876 Sunwood Dr NW Ste 200
Ramsey, MN 55303-5178

Mailing address

21766 Xenon St NW
Elk River, MN 55330-8426
Phone (612) 708-3626

Other practice location 1

5466 Saint Croix Trl # 107
North Branch, MN 55056-4204
Phone (651) 674-7589

Other practice location 2

2 Enterprise Ave NE
Isanti, MN 55040-6810
Phone (763) 444-8068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260416000837 MN Practitioner - Physical Therapist in Private Practice 5698241776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infinite Health Collaborative, PAGroup PAC ID 1052225042, 815 clinicians

Practice addresses (Care Compare)

6450 Wedgwood Rd N
Maple Grove, MN 55311-3641
Phone (877) 609-0123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12212MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Consultants, Inc. PastSince Jul 1, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1679146344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21766 XENON ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553308426",
            "telephone_number": "612-708-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7876 SUNWOOD DR NW STE 200",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553035178",
            "telephone_number": "763-283-5977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5466 Saint Croix Trl # 107",
            "address_purpose": "LOCATION",
            "city": "North Branch",
            "state": "MN",
            "postal_code": "550564204",
            "country_code": "US",
            "telephone_number": "651-674-7589",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Enterprise Ave NE",
            "address_purpose": "LOCATION",
            "city": "Isanti",
            "state": "MN",
            "postal_code": "550406810",
            "country_code": "US",
            "telephone_number": "763-444-8068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANTHEY",
        "first_name": "SAMANTHA",
        "middle_name": "ANN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "12212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ramsey, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.