AMY SUE ANDERSEN MPT
NPI 1063591840
Physical Therapist in Roseville, MN
About Amy Sue Andersen Mpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY SUE ANDERSEN MPT (NPI 1063591840) is an individual physical therapist in Roseville, Minnesota, licensed in Minnesota (6280) and active in the NPI registry since November 2006.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amy Sue Andersen Mpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Amy Andersen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lexington, SC 29072
- Reassigned Medicare billing, South Carolina enrollment
- 455 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Amy Andersen's NPI number?
The NPI number for Amy Andersen is 1063591840. It was assigned to this individual provider in the NPPES registry on November 3, 2006.
Where is Amy Andersen located?
Amy Andersen practices at 1970 Oakcrest Ave Suite 107, Roseville, MN 55113. The listed phone number is (651) 636-6330.
What is Amy Andersen's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Amy Andersen enrolled in Medicare?
Yes. Amy Andersen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Amy Andersen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Andersen reassigns Medicare benefits to Fox Rehabilitation Services Of South Carolina, LLC (Lexington, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Andersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Amy Andersen was last updated on July 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.