Individual provider Active NPI

Aaron J Zavadsky, M.P.T.

  • Physical Therapist
  • Cottage Grove, MN
National Provider Identifier
1962401976
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7076 Issued in MN
Practice address
8811 92ND St S Ste 101
Cottage Grove, MN 55016-4037
Phone
(651) 241-3777
Fax
(651) 241-3778
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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 7076 MN Primary

Addresses

Primary practice location

8811 92ND St S Ste 101
Cottage Grove, MN 55016-4037

Mailing address

8811 92ND St S Ste 101
Cottage Grove, MN 55016-4037
Phone (651) 241-3777

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
7076MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System Past Accepting new patients
Premier Physical Therapy Centers, Inc. Physical Therapist Past Accepting new patients
Allina Health System Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: azavadsky54120@excellian.direct.allina.com

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1962401976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 92ND ST S STE 101",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164037",
            "telephone_number": "651-241-3777",
            "fax_number": "651-241-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 92ND ST S STE 101",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164037",
            "telephone_number": "651-241-3777",
            "fax_number": "651-241-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVADSKY",
        "first_name": "AARON",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "7076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottage Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.