Active NPI
Mary Perzel, PT
- Physical Therapist
- Woodbury, MN
National Provider Identifier
1902244395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9398
- Practice address
- 8320 City Centre Dr
Suite G
Woodbury, MN 55125-3382 - Phone
- (651) 738-9888
- NPI assigned
- Jun 7, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physical Therapist | 225100000X | 9398 | MN | Primary |
Addresses
Primary practice location
8320 City Centre Dr
Suite G
Woodbury, MN 55125-3382
Mailing address
8320 City Centre Dr
Suite G
Woodbury, MN 55125-3382
Phone (651) 738-9888
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9398 | MN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384300800000",
"number": "1902244395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8320 CITY CENTRE DR",
"address_2": "SUITE G",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551253382",
"telephone_number": "651-738-9888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8320 CITY CENTRE DR",
"address_2": "SUITE G",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551253382",
"telephone_number": "651-738-9888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERZEL",
"first_name": "MARY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-07",
"last_updated": "2013-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "9398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.