Mary T Outpatient
NPI 1396475927ActiveOrganization· Physical Therapist· Coon Rapids, MN
Physical Therapist in Coon Rapids, Minnesota, registered in NPPES in June 2022. The authorized official on file is Jason Tjosvold, Chief Administrative Officer.
Overview
| NPI | 1396475927 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 15, 2022 |
| Last updated in NPPES | Jun 24, 2022 |
| Certified by provider | Jun 24, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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