MARY DELIA ROETTJER (PTA) – Physical Therapy Assistant, NPI 1306987672

MARY DELIA ROETTJER (PTA) is a healthcare provider. based in Stacy, Minnesota. specializing in Physical Therapy Assistant. They hold the professional credentials PTA. The NPI Number for MARY DELIA ROETTJER (PTA) is 1306987672

Main info

Female
Name
MARY DELIA ROETTJER (PTA)
NPI
1306987672
Phone
Not provided
Address
4985 ENCHANTMENT LN
Enumeration Date
9 February 2007
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

Provider Addresses for MARY DELIA ROETTJER (PTA)

  • 4985 ENCHANTMENT LN

    STACY, MN 550794551

    Phone:

    Type: Mailing

  • 640 JACKSON ST

    SAINT PAUL, MN 551012502

    Phone: (651) 254-2071

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55079)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for MARY DELIA ROETTJER (PTA)?
MARY DELIA ROETTJER (PTA) — NPI 1306987672 — is the standard way to identify this listing.
Does the file indicate MARY DELIA ROETTJER (PTA) is practicing under active NPI?
Directory data currently reports MARY DELIA ROETTJER (PTA) as active.
What taxonomy line describes MARY DELIA ROETTJER (PTA)?
For research purposes, treat MARY DELIA ROETTJER (PTA) as Physical Therapy Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Does MARY DELIA ROETTJER (PTA) list a practice location?
Patients near Stacy, Minnesota may find MARY DELIA ROETTJER (PTA) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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