Theresa Irene Plasencia, P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

5930 Issued in MN

Practice address

1030 County Road E W Ste 240
Shoreview, MN 55126-8153

Phone

(651) 493-0626

Fax

(651) 493-8463

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1988

Medicare assignment

May accept Medicare assignment

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.

• Theresa Plasencia Physical Therapy, Inc.

  • Physical Therapist
  • Shoreview, MN
  • NPI 1194919571
  Medicare reassignment NPD Authorized official
• Colleen Martens Endrizzi, Inc.

  • Physical Therapist
  • Shoreview, MN
  • NPI 1346477635
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1770616849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 CHATSWORTH PL",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551262259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 COUNTY ROAD E W STE 240",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268153",
            "telephone_number": "651-493-0626",
            "fax_number": "651-493-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLASENCIA",
        "first_name": "THERESA",
        "middle_name": "IRENE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MN",
            "license": "5930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "5606571",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "109313",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "64-04673",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS AND BLUE SHIELD",
            "identifier": "60M64PL",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory K Peters, MD
• Caleb Petersen, LAMFT
• Mae Petrangelo, MS,CCC-SLP
• Rebecca Lea Pilet, MOT, OTR/L
• James Pinson
• Preferred Chiropractic Associates Inc
• Proeyecare Associates PA
• Progressive Eyecare Associates
• Promedical Health Care
• Monica Marie Purdy, M.A., CCC-SLP

• Orthopedic Physical Therapist in Shoreview, MN
• Providers in Shoreview, MN by specialty
• Orthopedic Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.