Individual provider Active NPI

Laurie J Xiong, PT

  • Physical Therapist
  • Mendota Heights, MN
National Provider Identifier
1952499907
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6144 Issued in MN
Practice address
1270 Northland Dr Ste 175
Mendota Heights, MN 55120-1412
Phone
(651) 905-9000
Fax
(651) 454-1603
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6144 MN Primary

Addresses

Primary practice location

1270 Northland Dr Ste 175
Mendota Heights, MN 55120-1412

Mailing address

1939 Minnehaha Ave W Ste 300
Saint Paul, MN 55104-1033
Phone (651) 748-4338

Other identifiers 1

IdentifierTypeStateIssuer
395940600MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101022001259 MN Practitioner - Physical Therapist in Private Practice 9638362585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Partners IncGroup PAC ID 4486552593, 135 clinicians

Practice addresses (Care Compare)

1270 Northland Dr
Suite 175
Mendota Heights, MN 55120-1412
Phone (651) 905-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Partners Inc Physical Therapist CurrentSince Nov 20, 2023 Accepting new patients
Therapy Partners, Inc. Physical Therapist CurrentSince Nov 20, 2023 Accepting new patients

Locations

6529 Cecilia Cir
Edina, MN 55439
Phone (651) 348-7428

1655 Beam Ave
Ste 309
Maplewood, MN 55109
Phone (651) 779-6543

10650 Red Circle Dr
Ste 10
Minnetonka, MN 55343
Phone (651) 348-7428

1270 Northland Dr
Ste 175
Saint Paul, MN 55120
Phone (651) 905-9000

7541 9th St N
Saint Paul, MN 55128

375 Selby Ave
Ste 63
Saint Paul, MN 55102
Phone (651) 348-7428

1939 Minnehaha Ave W
Ste 300
Saint Paul, MN 55104

1939 Minnehaha Ave W
Ste 100
Saint Paul, MN 55104
Phone (651) 348-7428

1700 Tower Dr W
Stillwater, MN 55082
Phone (651) 275-4706

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1952499907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 MINNEHAHA AVE W STE 300",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551041033",
            "telephone_number": "651-748-4338",
            "fax_number": "651-748-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 NORTHLAND DR STE 175",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201412",
            "telephone_number": "651-905-9000",
            "fax_number": "651-454-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIONG",
        "first_name": "LAURIE",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "6144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "395940600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendota Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.