Active NPI
Sydney Rae Anderson, PT, DPT
- Physical Therapist
- Shoreview, MN
National Provider Identifier
1861335598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14078
- Practice address
- 4180 Lexington Ave N
Shoreview, MN 55126-6106 - Phone
- (651) 241-1455
- NPI assigned
- Apr 9, 2026
- Last updated
- Apr 9, 2026
- 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 Therapist | 225100000X | 14078 | MN | Primary |
Addresses
Primary practice location
4180 Lexington Ave N
Shoreview, MN 55126-6106
Mailing address
380 Randolph Ave Apt 332
Saint Paul, MN 55102-5505
Phone (952) 846-7703
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 |
|---|---|---|---|
| 14078 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Allina Health TeleRheumatology
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1861335598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 RANDOLPH AVE APT 332",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551025505",
"telephone_number": "952-846-7703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4180 LEXINGTON AVE N",
"city": "SHOREVIEW",
"state": "MN",
"postal_code": "551266106",
"telephone_number": "651-241-1455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "SYDNEY",
"middle_name": "RAE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-09",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "14078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shoreview, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.