Tyra J Cerny, PTA
Individual provider Active NPI Physical Therapy Assistant · Woodbury, MN
NPI 1740438142 · NPPES record last updated Aug 28, 2008
Key facts
- NPI
- 1740438142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A365 (MN)
- Practice address
- 8320 City Centre Dr
Suite G
Woodbury, MN 55125-3382 - Phone
- (651) 738-9888
- Fax
- (651) 738-9889
- NPI assigned
- Aug 28, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A365 | MN | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Achievement Center Inc. | Physical Therapy Assistant | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A365 | MN | Yes |
Addresses
Primary practice location
8320 City Centre Dr
Suite G
Woodbury, MN 55125-3382
Mailing address
8320 City Centre Dr
Suite G
Woodbury, MN 55125-3382
Phone (651) 738-9888
Other providers in Woodbury, MN
- Kathryn Ann Catania
- CCS Consulting LLC
- Julie L Ceno- England
- Central Pediatrics, P.a.
- Cerenity Senior Care
- Jean Chagnon
- Jacquelyn Ann Chamberlain
- Yeng Chang
- Charles R Mead
- Chloe Ruth Chase
All providers in Woodbury, MN · Physical Therapy Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.