Active NPI
Cassandra Anderson
- Physical Therapist
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11170
- Practice address
- 909 Fulton St SE
Minneapolis, MN 55455-4800 - Phone
- (612) 672-7422
- NPI assigned
- Jun 18, 2018
- 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 | |||
| Physical Therapist | 225100000X | 11170 | MN | Primary |
Addresses
Primary practice location
909 Fulton St SE
Minneapolis, MN 55455-4800
Mailing address
2512 S 7TH St
Minneapolis, MN 55454-1404
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, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
909 Fulton St SE
Minneapolis, MN 55455-4800
Phone (612) 672-7422
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.63 of 100
- Quality
- 75.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.75
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.66 of 100
- Quality
- 79.17
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11170 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healtheast Outpatient Services, LLC | Physical Therapist | Current | Accepting new patients |
| University of Minnesota Health Clinics and Surgery Center, Inc. | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Physical Therapist | Current | Accepting new patients |
| University of Minnesota Health Clinics and Surgery Center Inc | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Health Services | Past | Accepting new patients |
Locations
3305 Central Park Village Dr
Ste 130
Eagan, MN 55121
Phone (651) 406-8701
12000 Elm Creek Blvd N
Ste 120
Maple Grove, MN 55369
Phone (763) 420-9960
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
2512 S 7th St
Minneapolis, MN 55454
Phone (612) 273-4277
10961 Club West Pkwy
Ste 200
Minneapolis, MN 55449
Phone (763) 528-2922
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700
Organizations & group practices 7
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.
-
- Clinic/Center
- Minneapolis, MN
- NPI 1053795187
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Physical Therapist
- Saint Paul, MN
- NPI 1225382526
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- Physical Therapist
- Eagan, MN
- NPI 1881141349
-
- Anesthesiology Physician
- Minneapolis, MN
- NPI 1003485004
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553040000000",
"number": "1730673229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2512 S 7TH ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554541404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 FULTON ST SE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554554800",
"telephone_number": "612-672-7422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "CASSANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-18",
"last_updated": "2019-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "11170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.