Active NPI
Amber Rae Werner, P.T., A.T.C.
- Physical Therapist
- Eden Prairie, MN
National Provider Identifier
1972516227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7390
- Practice address
- 7707 Flying Cloud Dr
Eden Prairie, MN 55344-3708 - Phone
- (952) 829-7814
- NPI assigned
- Aug 15, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7390 | MN | Primary |
Addresses
Primary practice location
7707 Flying Cloud Dr
Eden Prairie, MN 55344-3708
Mailing address
400 Cambridge St
Apt #200
Hopkins, MN 55343-8194
Phone (952) 920-2524
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 525P1FL | Other | FM | BCBS GROUP # |
| 527P1WE | Other | MN | BCBS PROVIDER # |
| 64-03962 | Medicaid | MN |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flying Cloud Spine & Sport, P.a. | Physical Therapist | Past | Accepting new patients |
| Flying Cloud Physical Therapy, P.a. | Past | Accepting new patients |
Interoperability endpoints
- awerner185176@excellian.direct.allina.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Eden Prairie, MN
- NPI 1942493218
-
- Physical Therapist
- Eden Prairie, MN
- NPI 1861405128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972516227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 CAMBRIDGE ST",
"address_2": "APT #200",
"city": "HOPKINS",
"state": "MN",
"postal_code": "553438194",
"telephone_number": "952-920-2524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7707 FLYING CLOUD DR",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553443708",
"telephone_number": "952-829-7814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERNER",
"first_name": "AMBER",
"middle_name": "RAE",
"credential": "P.T., A.T.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "7390",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP #",
"identifier": "525P1FL",
"state": "FM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "527P1WE",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64-03962",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.