Amy Lynn Phipps-Poe, P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

5707 Issued in MN

Practice address

1503 7TH Ave
Two Harbors, MN 55616-1102

Phone

(218) 834-2586

Fax

(218) 834-2587

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ms. Amy Lynn Phipps Former name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bodies in Balance of Two Harbors, Inc.Group PAC ID 7618881988, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bodies in Balance of Two Harbors, Inc.

  • Physical Therapist
  • Two Harbors, MN
  • NPI 1700082484

  MN

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1700922960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 7TH AVE",
            "city": "TWO HARBORS",
            "state": "MN",
            "postal_code": "556161102",
            "telephone_number": "218-834-2586",
            "fax_number": "218-834-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 7TH AVE",
            "city": "TWO HARBORS",
            "state": "MN",
            "postal_code": "556161102",
            "telephone_number": "218-834-2586",
            "fax_number": "218-834-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIPPS-POE",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MN",
            "license": "5707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MN BOARD OF PT",
            "identifier": "5707",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WI BOARD OF PT",
            "identifier": "5707",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "PHIPPS",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "P.T",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christine Mari Oliver-Kneebone, LICSW
• Lee T Olson, PHARMACIST
• Paul M Trygstad
• Ayla Peterson
• Thomas Andrew Peterson, M.D.
• Heather Pipes, LPMA
• Premise Health of Minnesota Medical P C
• Adriana Quadhamer
• Carie Ann Radabaugh, RDH
• John Byron Radzak

• All providers in Two Harbors, MN
• Orthopedic Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.