Active NPI
Michael Vincent Sentkewitz
- Pedorthist
- Maple Grove, MN
National Provider Identifier
1992648257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pedorthist
- License
- 202957
- Practice address
- 11318 86TH Ave N
Maple Grove, MN 55369-4528 - Phone
- (612) 314-5286
- NPI assigned
- Apr 13, 2026
- Last updated
- Apr 13, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pedorthist | 224L00000X | 202957 | MN | Primary |
Addresses
Primary practice location
11318 86TH Ave N
Maple Grove, MN 55369-4528
Mailing address
2415 N Adams St
Spokane, WA 99205-3406
Phone (612) 314-5286
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202957 | MN | MD | Pedorthist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roots and Wings Therapeutic Services LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Occupational Therapist
- Rogers, MN
- NPI 1902564420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1992648257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 N ADAMS ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992053406",
"telephone_number": "612-314-5286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11318 86TH AVE N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553694528",
"telephone_number": "612-314-5286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENTKEWITZ",
"first_name": "MICHAEL",
"middle_name": "VINCENT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-13",
"last_updated": "2026-04-13",
"certification_date": "2026-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "224L00000X",
"taxonomy_group": "",
"desc": "Pedorthist",
"state": "MN",
"license": "202957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.