Active Therapy Mn - Medicare Physical Therapist in Eden Prairie, MN

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Active Therapy Mn is a medicare enrolled "Physical Therapist" provider in Eden Prairie, Minnesota. Their current practice location is 10300 Hennepin Town Rd, Eden Prairie, Minnesota. You can reach out to their office (for appointments etc.) via phone at (612) 562-8204.

Active Therapy Mn is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Active Therapy Mn is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1730835257.

Contact Information

Active Therapy Mn
10300 Hennepin Town Rd,
Eden Prairie, MN 55347-5100
(612) 562-8204
(763) 328-0111

Map and Direction




Healthcare Provider's Profile

Full NameActive Therapy Mn
TypeFacility
SpecialityPhysical Therapist
Location10300 Hennepin Town Rd, Eden Prairie, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730835257
  • Provider Enumeration Date: 02/23/2022
  • Last Update Date: 03/22/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2769878099
  • Enrollment ID: O20220413000866

Medical Identifiers

Medical identifiers for Active Therapy Mn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730835257NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Primary
225X00000XOccupational Therapist (* (Not Available))Secondary
235Z00000XSpeech-language Pathologist (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Active Therapy Mn acts as a billing entity for following providers:
Provider NameTiffany E Rodman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891702080
PECOS PAC ID: 9032126784
Enrollment ID: I20060321000465
Provider NameMary L Kramlinger
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1285929869
PECOS PAC ID: 7618273624
Enrollment ID: I20160316001840
Provider NameLani Michelle Hanson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1083280077
PECOS PAC ID: 6002216298
Enrollment ID: I20210609001672
Provider NamePatricia May Vanlandschoot
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1699115113
PECOS PAC ID: 6709274236
Enrollment ID: I20211102001519
Provider NameCrystal Marie Meier
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1457479222
PECOS PAC ID: 5395134316
Enrollment ID: I20211112002306
Provider NameJennifer Vomastek
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215480470
PECOS PAC ID: 9931598513
Enrollment ID: I20211120000313
Provider NameHannah Knutson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598478604
PECOS PAC ID: 4981075306
Enrollment ID: I20230123002715
Provider NameAshley Magnuson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1932984036
PECOS PAC ID: 1052765039
Enrollment ID: I20230925002197
Provider NameJessica Hormann
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1437935293
PECOS PAC ID: 7214381136
Enrollment ID: I20230927000244

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Active Therapy Mn is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Active Therapy Mn
6633 N Lincoln Ave,
Lincolnwood, IL 60712-3605

Ph: (612) 562-8204		Active Therapy Mn
10300 Hennepin Town Rd,
Eden Prairie, MN 55347-5100

Ph: (612) 562-8204

Reviews and Comments


Physical Therapist in Eden Prairie, MN

Hannah Mae Stefani, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 6485 City West Pkwy, Eden Prairie, MN 55344
Phone: 952-933-1150    Fax: 952-930-3304
Kaitlin Vaith,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 6545 Flying Cloud Dr Ste 201, Eden Prairie, MN 55344
Phone: 612-364-1901    
John A Corbo, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 775 Prairie Center Dr, 250, Eden Prairie, MN 55344
Phone: 952-944-5314    
Daniel Himmerick,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 775 Prairie Center Dr Ste 250, Eden Prairie, MN 55344
Phone: 952-944-5314    Fax: 952-944-0092
Christopher Hart,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 775 Prairie Center Dr Ste 250, Eden Prairie, MN 55344
Phone: 952-944-5314    
Nathaniel L Peterson, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 12982 Valley View Rd, Eden Prairie, MN 55344
Phone: 952-944-2519    Fax: 952-944-0092
Laura Deng, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 14382 Starrwood Cir, Eden Prairie, MN 55347
Phone: 952-393-2633    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.