Melanie A Anderson, PT
Individual provider Active NPI Physical Therapist · Coon Rapids, MN
NPI 1780804609 · NPPES record last updated Apr 8, 2020
Key facts
- NPI
- 1780804609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 8256 (MN)
- Practice address
- 11850 Blackfoot St NW Ste 400
Coon Rapids, MN 55433-2776 - Phone
- (763) 236-8911
- Fax
- (763) 236-8930
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 8256 | MN | MD | Physical Therapist |
Interoperability endpoints
- manderson106046@excellian.direct.allina.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8256 | MN | Yes |
Addresses
Primary practice location
11850 Blackfoot St NW Ste 400
Coon Rapids, MN 55433-2776
Mailing address
11850 Blackfoot St NW Ste 400
Coon Rapids, MN 55433-2776
Phone (763) 236-8911
Other providers in Coon Rapids, MN
- Kimberly Anne An
- Gina Lorraine Andersland
- Allison Keiko Anderson
- Gregg W. Anderson
- Jacqueline M Anderson
- Sherri L Anderson
- Thomas Warren Anderson
- Jennifer Andrews
- Mackenzie Andropolis
- Roy Angle
All providers in Coon Rapids, MN · Physical Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2020. 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.