MAYLY THOR RD, LD
NPI 1487367017
Dietitian, Registered in Brooklyn Center, MN

Q: What is Mayly Thor's NPI number?

The NPI number for Mayly Thor is 1487367017. It was assigned to this individual provider in the NPPES registry on December 28, 2022.

Q: What is Mayly Thor's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Mayly Thor was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since December 28, 2022Accepts Medicare Assignment

6200 SHINGLE CREEK PKWY STE 250, BROOKLYN CENTER, MN 55430(763) 299-6431 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 5, 2023, Dec 28, 2022 (2 updates tracked since 2022).

On this page

About Mayly Thor Rd, Ld NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAYLY THOR RD, LD (NPI 1487367017) is an individual dietitian, registered in Brooklyn Center, Minnesota, licensed in Minnesota (1930) and active in the NPI registry since December 2022. She is a graduate of Other (1996).

NPPES Registry Identity

NPI1487367017

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMAYLY THORCredential: RD, LD

Location Address6200 SHINGLE CREEK PKWY STE 250Brooklyn Center, MN 55430-2107

Mailing Address2446 Pascal StRoseville, MN 55113-3124 · (612) 247-8432

Phone(763) 299-6431

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateDecember 28, 2022

Last NPPES UpdateJanuary 5, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2023

✔ NPI 1487367017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in MN · 1930

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

6200 SHINGLE CREEK PKWY STE 250, Brooklyn Center, MN 55430

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mayly Thor Rd, Ld is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103297601

PECOS Enrollment IDI20230119003188

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55430 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $56.00 – $168.28

Typical copayment $0.00 (range $14.00 – $42.07)

Most-billed visit code NA

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRADY ALEXANDER BRABEC

Internal Medicine (Nephrology)