Individual provider Active NPI

Anna Jarvi, PTA, CLT

  • Physical Therapy Assistant
  • Roseville, MN
National Provider Identifier
1881046118
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A189 Issued in MN
Practice address
2250 Victoria St N Apt 207
Roseville, MN 55113-4454
Phone
(320) 491-3016
NPI assigned
Jul 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A189 MN Primary

Addresses

Primary practice location

2250 Victoria St N Apt 207
Roseville, MN 55113-4454

Mailing address

2250 Victoria St N Apt 207
Roseville, MN 55113-4454
Phone (320) 491-3016

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

LicenseStateTypeSpecialty
A189MNMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1881046118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 VICTORIA ST N APT 207",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134454",
            "telephone_number": "320-491-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 VICTORIA ST N APT 207",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134454",
            "telephone_number": "320-491-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVI",
        "first_name": "ANNA",
        "name_prefix": "Miss",
        "credential": "PTA, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.