Individual provider Active NPI

Thomas John Policano, D.C.

  • Chiropractor
  • Savage, MN
National Provider Identifier
1891065058
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5611 Issued in MN
Practice address
4401 Egan Dr Ste 100
Savage, MN 55378
Phone
(952) 746-4162
Fax
(952) 808-3112
NPI assigned
Jan 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5611 MN Primary

Addresses

Primary practice location

4401 Egan Dr Ste 100
Savage, MN 55378

Mailing address

4401 Egan Dr Ste 100
Savage, MN 55378-2024
Phone (952) 746-4162

Other practice location 1

4535 Hodgson Rd
Suite 200
Shoreview, MN 55126-1949
Phone (651) 287-8700

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

State licenses

LicenseStateTypeSpecialty
5611MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Finish Line Wellness PastSince Aug 1, 2018 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1891065058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 EGAN DR STE 100",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782024",
            "telephone_number": "952-746-4162",
            "fax_number": "952-808-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 EGAN DR STE 100",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "55378",
            "telephone_number": "952-746-4162",
            "fax_number": "952-808-3112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4535 Hodgson Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Shoreview",
            "state": "MN",
            "postal_code": "551261949",
            "country_code": "US",
            "telephone_number": "651-287-8700",
            "fax_number": "651-287-8701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLICANO",
        "first_name": "THOMAS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-05",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savage, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.