Active NPI
Ashlea Tecker
- Physical Therapy Assistant
- Bloomington, MN
National Provider Identifier
1790370104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A2654
- Practice address
- 4801 W 81St St Ste 103
Bloomington, MN 55437-1111 - Phone
- (952) 924-0199
- NPI assigned
- Mar 8, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A2654 | MN | Primary |
Addresses
Primary practice location
4801 W 81St St Ste 103
Bloomington, MN 55437-1111
Mailing address
4801 W 81St St Ste 103
Bloomington, MN 55437-1111
Phone (952) 924-0199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A2654 | Other | MN | MN STATE LICENSE ID |
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
| License | State | Type | Specialty |
|---|---|---|---|
| A2654 | MN | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saunders Therapy Centers Inc | Current | Accepting new patients |
Locations
4801 W 81st St
Ste 103
Minneapolis, MN 55437
Phone (612) 239-2063
Organizations & group practices 1
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.
-
- Physical Therapist
- Bloomington, MN
- NPI 1952554495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615161600000",
"number": "1790370104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 W 81ST ST STE 103",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554371111",
"telephone_number": "952-924-0199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 W 81ST ST STE 103",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554371111",
"telephone_number": "952-924-0199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TECKER",
"first_name": "ASHLEA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-08",
"last_updated": "2021-03-08",
"certification_date": "2021-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MN",
"license": "A2654",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN STATE LICENSE ID",
"identifier": "A2654",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.