Individual provider Active NPI

Marisa A Amacher, DPT

  • Physical Therapist
  • Faribault, MN
National Provider Identifier
1699333039
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11465 Issued in MN
Practice address
1819 2ND Ave NW
Faribault, MN 55021-3035
Phone
(507) 334-5627
NPI assigned
May 31, 2019
Last updated
May 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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 11465 MN Primary

Addresses

Primary practice location

1819 2ND Ave NW
Faribault, MN 55021-3035

Mailing address

120 Sunshine LN
Faribault, MN 55021-7084
Phone (612) 236-6818

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

OrganizationSpecialtyStatusNew patients
Dr. Robert J. Erickson, P.a. CurrentSince Jun 4, 2019 Accepting new patients

Locations

1819 2nd Ave NW
Faribault, MN 55021
Phone (507) 334-5627

Organizations & group practices 1

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": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1699333039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SUNSHINE LN",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550217084",
            "telephone_number": "612-236-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 2ND AVE NW",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550213035",
            "telephone_number": "507-334-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMACHER",
        "first_name": "MARISA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "11465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Faribault, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.