Individual provider Active NPI

Heather Kay Ostman, PTA

  • Physical Therapy Assistant
  • Minneapolis, MN
National Provider Identifier
1770728818
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A772 Issued in MN
Practice address
2800 Chicago Ave Ste 102
Minneapolis, MN 55407-1318
Phone
(612) 863-4446
Fax
(612) 863-5698
NPI assigned
Dec 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A772 MN Primary

Addresses

Primary practice location

2800 Chicago Ave Ste 102
Minneapolis, MN 55407-1318

Mailing address

11835 Redwood St NW
Coon Rapids, MN 55448-2278
Phone (763) 784-1415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A772MNMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1770728818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11835 REDWOOD ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554482278",
            "telephone_number": "763-784-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 CHICAGO AVE STE 102",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071318",
            "telephone_number": "612-863-4446",
            "fax_number": "612-863-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTMAN",
        "first_name": "HEATHER",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A772",
            "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 Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.