Individual provider Active NPI

Xaarki Ann Gamerdinger, DPT

  • Physical Therapist
  • Golden Valley, MN
National Provider Identifier
1801404892
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12044 Issued in MN
Practice address
8301 Golden Valley Rd Ste 202
Golden Valley, MN 55427-4475
Phone
(763) 257-1133
NPI assigned
Jul 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12044 MN Primary

Addresses

Primary practice location

8301 Golden Valley Rd Ste 202
Golden Valley, MN 55427-4475

Mailing address

6475 Regency LN
Eden Prairie, MN 55344-7839
Phone (608) 615-2302

Other names 1

  • Xaarki Ann Seidel Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
12044MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Andrews Physical Therapy, SC Physical Therapist CurrentSince Nov 30, 2022 Accepting new patients

Locations

3852 Creamery Rd
De Pere, WI 54115
Phone (920) 338-9670

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.

NPI Registry JSON

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1801404892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6475 REGENCY LN",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447839",
            "telephone_number": "608-615-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 GOLDEN VALLEY RD STE 202",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274475",
            "telephone_number": "763-257-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMERDINGER",
        "first_name": "XAARKI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "12044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "XAARKI",
            "last_name": "SEIDEL",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.