Mary T Outpatient
NPI 1396475927 · Physical Therapist · Coon Rapids, MN
Mary T Outpatient is a Physical Therapist organization in Coon Rapids, MN (NPI 1396475927).
Provider details
- NPI number
- 1396475927
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jason Tjosvold, Chief Administrative Officer(763) 567-8951
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-06-15
- Last updated
- 2022-06-24
- Certified
- 2022-06-24
Frequently asked questions
- What is Mary T Outpatient's NPI number?
- Mary T Outpatient's National Provider Identifier (NPI) is 1396475927, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mary T Outpatient?
- Mary T Outpatient is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Mary T Outpatient located?
- Mary T Outpatient's practice location on file with NPPES is 11800 Xeon Blvd Nw, Coon Rapids, MN 55448-2061.
- What is Mary T Outpatient's phone number?
- The practice phone number listed in the NPPES registry for Mary T Outpatient is (763) 489-3638.
- Who is the authorized official for Mary T Outpatient?
- The authorized official listed on Mary T Outpatient's NPPES record is Jason Tjosvold, Chief Administrative Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mary T Outpatient's NPI active?
- Yes — Mary T Outpatient's NPI (1396475927) is active in the NPPES registry as of the last update on 2022-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.