Active NPI
Anna Sophie Holmes, P.T.
- Physical Therapist
- Minnetonka, MN
National Provider Identifier
1679771885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7236
- Practice address
- 15000 Minnetonka Blvd
Minnetonka, MN 55345-1506 - Phone
- (952) 935-4037
- Fax
- (952) 908-0361
- NPI assigned
- Jul 10, 2007
- Last updated
- Oct 1, 2007
- 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 | 7236 | MN | Primary |
Addresses
Primary practice location
15000 Minnetonka Blvd
Minnetonka, MN 55345-1506
Mailing address
15000 Minnetonka Blvd
Minnetonka, MN 55345-1506
Phone (952) 935-4037
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6B478OR | Other | MN | BLUE CROSS BLUE SHIELD GR |
| 217L2HO | Other | MN | BLUE CROSS BLUE SHEILD |
| 1024610 | Other | MN | PREFFERED ONE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Partners Inc | Physical Therapist | Past | Accepting new patients |
| Merz, Inc. | Physical Therapist | Past | 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.
-
- Physical Therapist
- Forest Lake, MN
- NPI 1821179607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191196800000",
"number": "1679771885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15000 MINNETONKA BLVD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553451506",
"telephone_number": "952-935-4037",
"fax_number": "952-908-0361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15000 MINNETONKA BLVD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553451506",
"telephone_number": "952-935-4037",
"fax_number": "952-908-0361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "ANNA",
"middle_name": "SOPHIE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-10",
"last_updated": "2007-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "7236",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD GR",
"identifier": "6B478OR",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "217L2HO",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFFERED ONE",
"identifier": "1024610",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.