Active NPI
Amanda Elliott, DPT
- Physical Therapist
- Golden Valley, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9481
- Practice address
- 6701 Country Club Dr
Golden Valley, MN 55427-4602 - Phone
- (952) 993-5495
- NPI assigned
- Jul 31, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11713-024 | WI | |
| Physical Therapist | 225100000X | 9481 | MN | Primary |
Addresses
Primary practice location
6701 Country Club Dr
Golden Valley, MN 55427-4602
Mailing address
6150 Quinwood LN N
#5104
Plymouth, MN 55442-1301
Phone (815) 275-7006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
295 Phalen Blvd
Saint Paul, MN 55130-2400
Phone (651) 495-6200
401 Phalen Blvd
Saint Paul, MN 55130-5302
Phone (651) 254-7700
435 Phalen Blvd
Saint Paul, MN 55130-5302
Phone (651) 254-8080
640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 221-2164
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11713-024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regions Hospital | Current | Accepting new patients | |
| Regions Hospital | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients |
Locations
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
8170 33rd Ave S
Minneapolis, MN 55425
Phone (952) 883-5463
640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Regions Professional Group
- Emergency Medicine Physician
- Saint Paul, MN
- NPI 1154359917
-
dba HealthPartners Medical Group
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1710924683
-
dba HealthPartners Well@Work St. Cloud
- Health Service Clinic/Center
- Waite Park, MN
- NPI 1457836454
-
dba HealthPartners Midway Residency Dental
- General Practice Dentistry
- Saint Paul, MN
- NPI 1952042053
-
dba HealthPartners Specialty Center Woodbury
- General Acute Care Hospital
- Woodbury, MN
- NPI 1104681105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383696000000",
"number": "1699107722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6150 QUINWOOD LN N",
"address_2": "#5104",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554421301",
"telephone_number": "815-275-7006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 COUNTRY CLUB DR",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554274602",
"telephone_number": "952-993-5495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "AMANDA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-31",
"last_updated": "2013-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "11713-024",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "9481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Golden Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.