Active NPI
Andrew Tomas Cordova, PT
- Physical Therapist
- Mankato, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13664
- Practice address
- 1025 Marsh St
Mankato, MN 56001-4752 - Phone
- (507) 625-4031
- NPI assigned
- Aug 15, 2024
- Last updated
- Mar 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12183 | SC | |
| Physical Therapist | 225100000X | 19784 | CO | |
| Physical Therapist | 225100000X | 14255 | CT | |
| Physical Therapist | 225100000X | 13664 | MN | Primary |
Addresses
Primary practice location
1025 Marsh St
Mankato, MN 56001-4752
Mailing address
PO Box 860912
Minneapolis, MN 55486-0912
Phone (507) 284-2511
Other practice location 1
30940 Stagecoach Blvd # 110
Evergreen, CO 80439-7984
Phone (860) 830-3715
Other practice location 2
111 Carkoski Cmns
Mankato, MN 56001-6031
Phone (860) 830-3715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, MN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Minneapolis, MN 55486
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12183 | SC | MD | Orthopaedic Surgery of the Spine Physician |
| 19784 | CO | MD | Physical Therapist |
| 14255 | CT | MD | Physical Therapist |
| 13664 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy of West Denver Limited Partnership | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Minnesota Region | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Minnesota Region | Current | Accepting new patients | |
| Select Physical Therapy of West Denver Limited Partnership | Current | Accepting new patients | |
| Select Physical Therapy of West Denver Limited Partnership | Current | Accepting new patients | |
| Select Physical Therapy Holdings Inc | Physical Therapist | Past | Accepting new patients |
Locations
30940 Stagecoach Blvd
#110
Evergreen, CO 80439
Phone (303) 674-1594
8601 Turnpike Dr
Ste 204
Westminster, CO 80031
Phone (570) 417-7622
1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623
Organizations & group practices 6
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.
-
dba Mayo Clinic Health System - Mankato
- Multi-Specialty Clinic/Center
- Mankato, MN
- NPI 1578545422
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Westminster, CO
- NPI 1346896081
-
dba Mayo Clinic Health System-Waseca
- Multi-Specialty Clinic/Center
- Waseca, MN
- NPI 1518494251
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Loveland, CO
- NPI 1750009536
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Wheat Ridge, CO
- NPI 1942279567
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Englewood, CO
- NPI 1265401897
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773360000000",
"number": "1740012111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 860912",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554860912",
"telephone_number": "507-284-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 MARSH ST",
"city": "MANKATO",
"state": "MN",
"postal_code": "560014752",
"telephone_number": "507-625-4031"
}
],
"practiceLocations": [
{
"address_1": "30940 Stagecoach Blvd # 110",
"address_purpose": "LOCATION",
"city": "Evergreen",
"state": "CO",
"postal_code": "804397984",
"country_code": "US",
"telephone_number": "860-830-3715",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 Carkoski Cmns",
"address_purpose": "LOCATION",
"city": "Mankato",
"state": "MN",
"postal_code": "560016031",
"country_code": "US",
"telephone_number": "860-830-3715",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORDOVA",
"first_name": "ANDREW",
"middle_name": "TOMAS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-15",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "12183",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "19784",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "14255",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "13664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.