Elizabeth Sunshine Johnson-Gerrits, PT
Individual provider Active NPI Physical Therapist · Coon Rapids, MN
NPI 1922061985 · NPPES record last updated Apr 6, 2020
Key facts
- NPI
- 1922061985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 7238 (MN)
- Practice address
- 11850 Blackfoot St NE
Ste 400
Coon Rapids, MN 55433 - Phone
- (763) 236-8911
- NPI assigned
- Apr 10, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7238 | MN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7238 | MN | Yes |
Addresses
Primary practice location
11850 Blackfoot St NE
Ste 400
Coon Rapids, MN 55433
Mailing address
4904 Vallacher Ave
St Louis Park, MN 55416-3025
Other practice location 1
7250 France Ave S
Suite 111
Edina, MN 55435-4305
Phone (952) 837-8991
Other providers in Coon Rapids, MN
- Crystal Chun Jiang
- Ifrah A Jire
- Rebecca Jochum
- Kyle Johannessen
- Kenneth A Johns
- Alan Stuart Johnson
- Beth Ellen Johnson
- Beth Laurie Johnson
- Blessing Johnson
- Carrie Johnson
All providers in Coon Rapids, MN · Physical Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.