Individual provider Active NPI

Aaron Dale Gnirk, DPT

  • Orthopedic Physical Therapist
  • Monticello, MN
National Provider Identifier
1902539778
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
12222 Issued in MN
Practice address
1107 Hart Blvd Ste 10
Monticello, MN 55362-8539
Phone
(503) 838-4244
NPI assigned
Jul 7, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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 64446 OR
Orthopedic Physical Therapist 2251X0800X 12222 MN Primary

Addresses

Primary practice location

1107 Hart Blvd Ste 10
Monticello, MN 55362-8539

Mailing address

1107 Hart Blvd Ste 10
Monticello, MN 55362-8539

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
64446ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT Northwest LLC PastSince Jul 1, 2022 Accepting new patients
Physical Therapy Northwest Limited Partnership Physical Therapist PastSince Jul 1, 2022 Accepting new patients

Organizations & group practices 2

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": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1902539778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 HART BLVD STE 10",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553628539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 HART BLVD STE 10",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553628539",
            "telephone_number": "503-838-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GNIRK",
        "first_name": "AARON",
        "middle_name": "DALE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-07",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "64446",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MN",
            "license": "12222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.