Individual provider Active NPI

Aimee Nelson Garofalo, M.S.P.T.

  • Physical Therapist
  • Benton, AR
National Provider Identifier
1831113588
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2943 Issued in AR
Practice address
1 Medical Park Dr
Saline Pediatric Therapies
Benton, AR 72015-3353
Phone
(501) 776-6925
Fax
(501) 776-6988
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 18918 FL
Physical Therapist 225100000X 2943 AR Primary

Addresses

Primary practice location

1 Medical Park Dr
Saline Pediatric Therapies
Benton, AR 72015-3353

Mailing address

6101 Alcoa Rd
Apt. 421
Benton, AR 72015-6791
Phone (561) 252-1512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240905001145 MN Practitioner - Physical Therapist in Private Practice 5597798447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interventional Spine and Pain Physicians PAGroup PAC ID 2466606264, 42 clinicians

Practice addresses (Care Compare)

7700 France Ave S
Suite 240
Edina, MN 55435-5878
Phone (763) 201-8191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18918FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians' Diagnostics & Rehabilitation,LTD Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Interventional Spine and Pain Physicians, PA Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients

Locations

172 Cobblestone Ln
Burnsville, MN 55337
Phone (952) 908-2710

320 Coon Rapids Blvd NW
Ste 100
Coon Rapids, MN 55433
Phone (952) 908-2580

916 Saint Peter Ave E
Delano, MN 55328
Phone (763) 972-9172

7700 France Ave S
Ste 240
Edina, MN 55435
Phone (952) 908-2700

9645 Grove Cir N
Ste 200
Maple Grove, MN 55369
Phone (763) 300-2193

9600 Upland Ln N
Ste 160
Maple Grove, MN 55369

7767 Elm Creek Blvd N
Ste 160
Maple Grove, MN 55369
Phone (763) 391-7522

1856 Beam Ave
#100
Maplewood, MN 55109

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831113588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 ALCOA RD",
            "address_2": "APT. 421",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720156791",
            "telephone_number": "561-252-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK DR",
            "address_2": "SALINE PEDIATRIC THERAPIES",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153353",
            "telephone_number": "501-776-6925",
            "fax_number": "501-776-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAROFALO",
        "first_name": "AIMEE",
        "middle_name": "NELSON",
        "credential": "M.S.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "18918",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "2943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.