Individual provider Active NPI

Amy Youan Shantz, PT, DPT

  • Physical Therapist
  • Inver Grove Heights, MN
National Provider Identifier
1891567764
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-33268 Issued in AZ
Practice address
2940 65TH St E
Inver Grove Heights, MN 55076-2040
Phone
(651) 451-1012
NPI assigned
Oct 24, 2023
Last updated
Jun 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 14406 MN
Physical Therapist 225100000X LPT-33268 AZ Primary

Addresses

Primary practice location

2940 65TH St E
Inver Grove Heights, MN 55076-2040

Mailing address

2940 65TH St E
Inver Grove Heights, MN 55076-2040
Phone (651) 451-1012

Other practice location 1

480 S Willard St
Cottonwood, AZ 86326-4128
Phone (928) 649-9726

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240307002999 AZ Practitioner - Physical Therapist in Private Practice 0648616052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

480 S Willard St
Cottonwood, AZ 86326-4128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14406MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Arizona Rehabilitation & Fitness Physical Therapist CurrentSince Jan 9, 2024 Accepting new patients
Farnsworth Orthopedic Physical Therapy, LLC Physical Therapist Current Accepting new patients
Inver Grove Chiropractic P a PastSince Jun 24, 2026 Accepting new patients

Locations

480 S Willard St
Cottonwood, AZ 86326
Phone (928) 649-9726

Organizations & group practices 3

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": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1891567764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 65TH ST E",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550762040",
            "telephone_number": "651-451-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 65TH ST E",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550762040",
            "telephone_number": "651-451-1012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 S Willard St",
            "address_purpose": "LOCATION",
            "city": "Cottonwood",
            "state": "AZ",
            "postal_code": "863264128",
            "country_code": "US",
            "telephone_number": "928-649-9726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANTZ",
        "first_name": "AMY",
        "middle_name": "YOUAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-24",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "14406",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-33268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inver Grove Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.