Active NPI
Mackenzie Paige Lindquist, DPT
- Physical Therapist
- Grand Rapids, MN
National Provider Identifier
1821628827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11799
- Practice address
- 1614 Golf Course Rd
Grand Rapids, MN 55744-8681 - Phone
- (218) 999-7776
- Fax
- (218) 999-0612
- NPI assigned
- Jan 19, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2382 | ND | |
| Physical Therapist | 225100000X | 11799 | MN | Primary |
Addresses
Primary practice location
1614 Golf Course Rd
Grand Rapids, MN 55744-8681
Mailing address
1939 Minnehaha Ave W Ste 300
Saint Paul, MN 55104-1033
Phone (651) 748-4338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1614 Golf Course Rd
Grand Rapids, MN 55744-8681
Phone (218) 999-7776
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11799 | MN | MD | General Practice Dentistry |
| 2382 | ND | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Partners, Inc. | Physical Therapist | Current | Accepting new patients |
| Therapy Partners Inc | Physical Therapist | Current | Accepting new patients |
Locations
1939 Minnehaha Ave W
Ste 300
Saint Paul, MN 55104
1700 Tower Dr W
Stillwater, MN 55082
Phone (651) 275-4706
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Saint Paul, MN
- NPI 1407809494
Physical Therapist
-
- Physical Therapist
- Forest Lake, MN
- NPI 1821179607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1821628827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1939 MINNEHAHA AVE W STE 300",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551041033",
"telephone_number": "651-748-4338",
"fax_number": "651-748-2892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1614 GOLF COURSE RD",
"city": "GRAND RAPIDS",
"state": "MN",
"postal_code": "557448681",
"telephone_number": "218-999-7776",
"fax_number": "218-999-0612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDQUIST",
"first_name": "MACKENZIE",
"middle_name": "PAIGE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-19",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "2382",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "11799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.