MARIA LEIDER (NPI# 1225483365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225483365 |
Entity Type | Individual |
Full Name | MARIA LEIDER |
Practice Address |
12400 Portland Ave Ste. 140 Burnsville MN 55337-6868 |
Mailing Address |
12400 Portland Ave. S Ste. 140 Burnsville MN 55337 |
Practice Telephone | 9524280400 |
Mailing Telephone | 9524280400 |
Enumeration Date | 2016-04-26 |
Last Update Date | 2020-04-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2251N0400X |
Physical Therapist Specialization: Neurology |
10027 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
10027 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
12400 PORTLAND AVE STE. 140 |
City | BURNSVILLE |
State | MN |
Zip Code | 55337-6868 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871550376 | Rebecca Ann Rees | Physical Therapist | 12400 Portland Ave, Courage Kenny Rehabilitation Institute, Burnsville, MN 55337-6868 | 2006-04-27 |
1194159905 | Megan Kim Gibson | Occupational Therapist | 12400 Portland Ave, Suite 140, Burnsville, MN 55337-6868 | 2013-08-28 |
1902158132 | Mariel Leigh Goettsch | Occupational Therapist | 12400 Portland Ave, Burnsville, MN 55337-6868 | 2012-10-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
Find all providers in zip 55337 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659338192 | Monica H Manning | Physical Therapist | 100 Cobblestone Lane, Courage Burnsville, Burnsville, MN 55337 | 2006-04-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902416043 | Jenna Gasperlin | Physical Therapist | 657 Main St Nw Ste 102, Elk River, MN 55330-1578 | 2020-08-04 |
1811552813 | Clare Muyskens | Physical Therapist | 3305 Central Park Commons Dr, Eagan, MN 55121 | 2019-05-06 |
1801300280 | Meghan Elizabeth Grathen | Physical Therapist | 490 S Maple St Ste 215, Waconia, MN 55387-1732 | 2017-11-21 |
1497205108 | Andrea Mary Mattison | Physical Therapist | 2399 Ariel St #a, Saint Paul, MN 55108-2202 | 2016-10-05 |
1457718264 | Jocelyn Lian Pediatric Physical Therapy Services, LLC | Physical Therapist | 13889 Fawn Ridge Way, Apple Valley, MN 55124-5035 | 2016-01-25 |
1689983587 | Karessa Hoffman | Physical Therapist | 9827 Maple Grove Pwky N, Maple Grove, MN 55369 | 2010-09-27 |
1134435332 | Lindsey Hulit Harrigan | Physical Therapist | 885 Highway 36 W, Apt. 304, Roseville, MN 55113-4429 | 2010-08-25 |
1760626196 | Crystal Lynn Markfort | Physical Therapist | 2025 East River Parkway, Mpls, MN 55414 | 2009-04-29 |
1659577153 | Mary Royer | Physical Therapist | 100 W Pleasure Dr, Litchfield, MN 55355-3525 | 2007-06-22 |
1295809366 | Children's Therapy Center, Inc | Physical Therapist | 2795 Pilot Knob Rd # 100, Eagan, MN 55121-1119 | 2006-11-20 |
Find all providers with the same taxonomy |
City | BURNSVILLE |
Zip Code | 55337 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.