Active NPI
Mitchell Holland, PT, DPT
- Physical Therapist
- Ramsey, MN
National Provider Identifier
1881071389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9354
- Practice address
- 7231 Sunwood Dr NW Ste a
Ramsey, MN 55303-5118 - Phone
- (763) 236-0006
- Fax
- (763) 236-0079
- NPI assigned
- May 4, 2015
- Last updated
- Apr 2, 2020
- Sex
- Male
- 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 | 9354 | MN | Primary |
Addresses
Primary practice location
7231 Sunwood Dr NW Ste a
Ramsey, MN 55303-5118
Mailing address
6180 144TH LN NW
Ramsey, MN 55303-5673
Phone (763) 236-0006
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 |
|---|---|---|---|
| 9354 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Past | Accepting new patients |
Interoperability endpoints
- mholland185626@excellian.direct.allina.com
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": "1430697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585785600000",
"number": "1881071389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6180 144TH LN NW",
"city": "RAMSEY",
"state": "MN",
"postal_code": "553035673",
"telephone_number": "763-236-0006",
"fax_number": "763-236-0079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7231 SUNWOOD DR NW STE A",
"city": "RAMSEY",
"state": "MN",
"postal_code": "553035118",
"telephone_number": "763-236-0006",
"fax_number": "763-236-0079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "MITCHELL",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-04",
"last_updated": "2020-04-02",
"certification_date": "2020-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "9354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ramsey, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.