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MARY T ASSOCIATES INC
NPI 1770643694
Home Health in Coon Rapids, MN

Active since December 11, 2006CLIA Certified · 5 labs
11800 XEON BLVD NW, COON RAPIDS, MN 55448(763) 754-2505(763) 999-1742 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mary T Associates Inc NPPES

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

MARY T ASSOCIATES INC (NPI 1770643694) is a healthcare organization registered as a home health in Coon Rapids, Minnesota and active in the NPI registry since December 2006. The organization holds 5 active CLIA laboratory certificates and lists Derek Miles, Cfo, as its authorized official.

NPPES Registry Identity

NPI1770643694
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameMARY T ASSOCIATES INC
Location Address11800 XEON BLVD NWCoon Rapids, MN 55448-2061
Mailing Address11800 Xeon Blvd NwCoon Rapids, MN 55448-2061 · (763) 754-2505 · Fax (763) 999-1742
Phone(763) 754-2505
Fax(763) 999-1742
Organization SubpartNo
Authorized OfficialDerek MilesCfo · (763) 226-3927
Enumeration DateDecember 11, 2006
Last NPPES UpdateAugust 3, 2026
NPPES CertifiedAugust 3, 2026
✔ NPI 1770643694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in MN · 331577
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Also ListedIntermediate Care Facility, Intellectual DisabilitiesTaxonomy 315P00000X · License 801456 (MN), 801457 (MN), 801459 (MN), 801458 (MN)
11800 XEON BLVD NW, Coon Rapids, MN 55448
Open in Google Maps ↗

Other Identifiers 10

Medicaid972525300MN
Other131415MN · U Care Hha
Medicaid472845900MN
Medicaid612745200MN
Other102207MN · Health Partners
Other136968MN · U Care Pca
Other9394ABMN · Bcbs
Other104337FM · U Care Fc
Medicaid672745000MN
Medicaid642845200MN

CLIA Laboratory Certificates CMS CLIA 5

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2293641

Mary T Associates, Inc Colfax · Bloomington, MN
Active · expires Nov 12, 2027
CLIA Number24D2293641
Laboratory TypeAdult Foster Care
Certificate Effective DateNovember 13, 2025
Certificate Expiration DateNovember 12, 2027
Laboratory DirectorLisa Baum
Laboratory Phone(763) 754-2505
Laboratory LocationMary T Associates, Inc Colfax9020 Colfax Ave S., Bloomington, MN 55420
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2293654

Mary T Associates, Inc Lilac Lane · Shoreview, MN
Active · expires Nov 12, 2027
CLIA Number24D2293654
Laboratory TypeAdult Foster Care
Certificate Effective DateNovember 13, 2025
Certificate Expiration DateNovember 12, 2027
Laboratory DirectorLisa Baum
Laboratory Phone(763) 754-2505
Laboratory LocationMary T Associates, Inc Lilac Lane360 Lilac Lane, Shoreview, MN 55126
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2293666

Mary T Associates, Inc. Evergreen · Coon Rapids, MN
Active · expires Nov 12, 2027
CLIA Number24D2293666
Laboratory TypeAdult Foster Care
Certificate Effective DateNovember 13, 2025
Certificate Expiration DateNovember 12, 2027
Laboratory DirectorLisa Baum
Laboratory Phone(763) 754-2505
Laboratory LocationMary T Associates, Inc. Evergreen10400 Uplander St, Coon Rapids, MN 55433
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2105977

Mary T Associates, Inc Queen · Minneapolis, MN
Active · expires Nov 6, 2027
CLIA Number24D2105977
Laboratory TypeAdult Foster Care
Certificate Effective DateNovember 7, 2025
Certificate Expiration DateNovember 6, 2027
Laboratory DirectorLisa Baum
Laboratory Phone(763) 754-2505
Laboratory LocationMary T Associates, Inc Queen5240 Queen Ave N, Minneapolis, MN 55430
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2118647

Mary T Associates, Inc Lynbrook · Brooklyn Park, MN
Active · expires Nov 5, 2027
CLIA Number24D2118647
Laboratory TypeAdult Foster Care
Certificate Effective DateNovember 6, 2025
Certificate Expiration DateNovember 5, 2027
Laboratory DirectorLisa Baum
Laboratory Phone(763) 754-2505
Laboratory LocationMary T Associates, Inc Lynbrook1009 82nd Ave North, Brooklyn Park, MN 55444
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

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

CARRIE PETERSON OTR
Occupational Therapist
11800 XEON BLVD NW
COON RAPIDS, MN 55448
Anoka County (763) 489-3638
ERIN HELGESON MA, CCC, SLP
Speech-Language Pathologist
11800 XEON BLVD NW
COON RAPIDS, MN 55448
Anoka County (763) 489-3638
MARCI LYNN PETTMAN PT
Physical Therapist
11800 XEON BLVD NW
COON RAPIDS, MN 55448
Anoka County (763) 489-3638
THERAPY PARTNERS INC
Physical Therapist
11800 XEON BLVD NW
COON RAPIDS, MN 55448
Anoka County (763) 489-3638
SHAUNA SCEPANIAK OTR/L
Occupational Therapist
11800 XEON BLVD NW
COON RAPIDS, MN 55448
Anoka County (612) 368-3917
TRACY KAY OBRIGHT
Physical Therapy Assistant
11800 XEON BLVD NW
COON RAPIDS, MN 55448
Anoka County (763) 489-3638
ALEXANDRA MARIE BEDNARCZYK OTR/L
Occupational Therapist
11800 XEON BLVD NW
COON RAPIDS, MN 55448
Anoka County (763) 755-8400
MARY T OUTPATIENT
Physical Therapist
11800 XEON BLVD NW
COON RAPIDS, MN 55448
Anoka County (763) 489-3638

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 Mary T Associates Inc's NPI number?

The NPI number for Mary T Associates Inc is 1770643694. It was assigned to this organization in the NPPES registry on December 11, 2006.

Where is Mary T Associates Inc located?

Mary T Associates Inc is located at 11800 Xeon Blvd NW, Coon Rapids, MN 55448. The listed phone number is (763) 754-2505.

What is Mary T Associates Inc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Mary T Associates Inc hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Mary T Associates Inc was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.