Individual provider Active NPI

Amber Sebring, DPT

  • Physical Therapist
  • Mendota Heights, MN
National Provider Identifier
1881323376
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12693 Issued in MN
Practice address
2520 Pilot Knob Rd Ste 250
Mendota Heights, MN 55120-1347
Phone
(651) 224-8264
NPI assigned
Jun 9, 2022
Last updated
Jun 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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 12693 MN Primary

Addresses

Primary practice location

2520 Pilot Knob Rd Ste 250
Mendota Heights, MN 55120-1347

Mailing address

3485 Promenade Ave Apt 506
Eagan, MN 55123-4429
Phone (507) 830-1505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241021003719 MN Practitioner - Physical Therapist in Private Practice 5395277982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minnesota Luna Care Physical Therapy LLCGroup PAC ID 6103230172, 36 clinicians

Practice addresses (Care Compare)

428 Minnesota St
Suite 500
Saint Paul, MN 55101-2666
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12693MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jul 22, 2024 Accepting new patients

Locations

428 Minnesota St
Ste 500
Saint Paul, MN 55101
Phone (612) 662-9604

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.

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1881323376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3485 PROMENADE AVE APT 506",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551234429",
            "telephone_number": "507-830-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 PILOT KNOB RD STE 250",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201347",
            "telephone_number": "651-224-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBRING",
        "first_name": "AMBER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "12693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendota Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.