Amanda Dawn Runyan, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

600 Pleasant Ave.
St. Joseph'S Area Health Services
Park Rapids, MN 56470

Phone

(218) 237-5496

Fax

(218) 237-5702

NPI assigned

Jun 11, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mandy Dawn Runyan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1790047355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PLEASANT AVE.",
            "address_2": "ST. JOSEPH'S AREA HEALTH SERVICES",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "56470",
            "telephone_number": "218-237-5496",
            "fax_number": "218-237-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PLEASANT AVE.",
            "address_2": "ST. JOSEPH'S AREA HEALTH SERVICES",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "56470",
            "telephone_number": "218-237-5496",
            "fax_number": "218-237-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNYAN",
        "first_name": "AMANDA",
        "middle_name": "DAWN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDY",
            "last_name": "RUNYAN",
            "middle_name": "DAWN",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Seth Roiko, APRN FNP-C
• Charlotte Ann Rollie, F.N.P, CNM
• Thomas Richard Rollie, M.D.
• Sara Marie Jansen Rowe, PHARMD
• Sheryl Jo Rudolf, APRN, CNP
• Michelle Marie Samuelson
• Sanford Clinic North
• Sanford Health of Northern Minnesota
• Ashley Sauer
• Nathan Schaefbauer, D.C.

• Physical Therapist in Park Rapids, MN
• Providers in Park Rapids, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.