Annamaria McConville, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7889 Issued in MN

Practice address

2125 E Hennepin Ave Ste 300
Minneapolis, MN 55413-1763

Phone

(612) 750-7168

Fax

(612) 564-7373

NPI assigned

Feb 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Knewtson Family Chiropractic PA

  • Chiropractor
  • Excelsior, MN
  • NPI 1477589109
  NPD (past)
• Lelwica Chiropractic

  • Chiropractor
  • Pequot Lakes, MN
  • NPI 1780851030

  Physical Therapist

  NPD (past)
• Merz, Inc.

  • Physical Therapist
  • Minnetonka, MN
  • NPI 1932253473
  NPD (past)
• Therapy Partners Inc

  • Physical Therapist
  • Forest Lake, MN
  • NPI 1821179607
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1831231281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014 RUSSELL AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554121546",
            "telephone_number": "612-845-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 E HENNEPIN AVE STE 300",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131763",
            "telephone_number": "612-750-7168",
            "fax_number": "612-564-7373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4014 Russell Ave N",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554121546",
            "country_code": "US",
            "telephone_number": "612-845-0707",
            "fax_number": "612-208-1701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCONVILLE",
        "first_name": "ANNAMARIA",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "7889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "71L65MC",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP85049",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA'S PPO",
            "identifier": "1831231281",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "6408307",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "962871052892",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert John McCollister
• Andrea Crystal McCollum, RD, LDN
• Claire McComb-Miller, PA
• Dolo McComb
• Suzanne McConn
• John Robert McCormick-Deaton, D.O.
• Margaret Mary McCormick, RN, BSN, LPC
• Mary Louise McCormick, D.V.M.
• Megan McCormick
• Nicole Ann McCormick, DO

• Physical Therapist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.