Individual provider Active NPI

Michael Todd Arneson, D.P.T.

  • Orthopedic Physical Therapist
  • Little Falls, MN
National Provider Identifier
1700835527
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
6452 Issued in MN
Practice address
309 1St St NE
Suite 101
Little Falls, MN 56345-4635
Phone
(320) 631-2302
Fax
(320) 631-2303
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Physical Therapy Inc. 2 clinicians

Practice addresses (Care Compare)

309 1St St NE
Suite 101
Little Falls, MN 56345-4635
Phone (320) 631-2302

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20071126000093 MN Practitioner - Physical Therapist in Private Practice 1456449636 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6452MNMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Physical Therapy Inc. Orthopedic CurrentSince Jan 1, 2010 Accepting new patients

Locations

309 1st St NE
Ste 101
Little Falls, MN 56345
Phone (320) 631-2302

309 1st St NE
#101
Little Falls, MN 56345
Phone (320) 631-2302

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 6452 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

309 1St St NE
Suite 101
Little Falls, MN 56345-4635

Mailing address

309 1St St NE
Suite 101
Little Falls, MN 56345-4635
Phone (320) 631-2302

Other identifiers 6

NPPES NPI Registry
IdentifierTypeStateIssuer
123784OtherMNUCARE INDIVIDUAL PROVIDER NUMBER
186943OtherMNUCARE GROUP PROVIDER NUMBER
650002050OtherMNMEDICARE PTAN NUMBER
001620900MNMedicaidMN
0U836ADOtherMNBC/BS GROUP PROVIDER NUMBER
0U837AROtherMNBC/BS INDIVIDUAL PROVIDER NUMBER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 16, 2009.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260921600000",
    "number": "1700835527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 1ST ST NE",
            "address_2": "SUITE 101",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563454635",
            "telephone_number": "320-631-2302",
            "fax_number": "320-631-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 1ST ST NE",
            "address_2": "SUITE 101",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563454635",
            "telephone_number": "320-631-2302",
            "fax_number": "320-631-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNESON",
        "first_name": "MICHAEL",
        "middle_name": "TODD",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2009-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MN",
            "license": "6452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE INDIVIDUAL PROVIDER NUMBER",
            "identifier": "123784",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE GROUP PROVIDER NUMBER",
            "identifier": "186943",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN NUMBER",
            "identifier": "650002050",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001620900MN",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP PROVIDER NUMBER",
            "identifier": "0U836AD",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS INDIVIDUAL PROVIDER NUMBER",
            "identifier": "0U837AR",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.