Individual provider Active NPI

Michael Peter Savageau, PT

  • Physical Therapist
  • Alexandria, MN
National Provider Identifier
1861543977
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4769 Issued in MN
Practice address
700 Cedar St Ste 153
Alexandria, MN 56308-1769
Phone
(320) 219-9680
Fax
(320) 759-1080
NPI assigned
Jan 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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 4769 MN Primary

Addresses

Primary practice location

700 Cedar St Ste 153
Alexandria, MN 56308-1769

Mailing address

1236 Bridgeport CT NW
Alexandria, MN 56308-4919
Phone (320) 219-9680

Other identifiers 1

IdentifierTypeStateIssuer
212560900MedicaidMN

Other names 1

  • Mr. Michael Peter Savageau Professional 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

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1861543977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 BRIDGEPORT CT NW",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563084919",
            "telephone_number": "320-219-9680",
            "fax_number": "320-759-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CEDAR ST STE 153",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563081769",
            "telephone_number": "320-219-9680",
            "fax_number": "320-759-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVAGEAU",
        "first_name": "MICHAEL",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "4769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212560900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "SAVAGEAU",
            "middle_name": "PETER",
            "prefix": "MR.",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Alexandria, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; 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.