Individual ProviderAnthony Troy VonrudenPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address15301 Grove Circle N, Maple Grove, MN 55369(952) 993-5900PECOS EnrollmentBased on the most recent information from CMS, provider Anthony Troy Vonruden does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1871880328Provider TypeIndividualFull NameVonruden, Anthony TroyCredentialPTGenderMaleSole ProprietorNoEnumeration Date7/6/2011Last Updated4/24/2017Contact InformationPractice LocationPractice Address15301 Grove Circle N, Maple Grove, MN 55369Phone(952) 993-5900FaxUnlisted FaxMailing LocationMailing Address8170 33rd Ave S, Mail Stop 21110q, Minneapolis, MN 55440-1309PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense8862Minnesota