Individual provider Active NPI

Deborah Susan Talmage, PT

  • Physical Therapist
  • Robbinsdale, MN
National Provider Identifier
1033226717
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5867 Issued in MN
Practice address
4080 W Broadway Ave
#300
Robbinsdale, MN 55422-5604
Phone
(763) 533-0541
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5867 MN Primary

Addresses

Primary practice location

4080 W Broadway Ave
#300
Robbinsdale, MN 55422-5604

Mailing address

10679 Shady Oak CT N
Champlin, MN 55316-3041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040121000497 MN Practitioner - Physical Therapist in Private Practice 7810899986 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

Practice addresses (Care Compare)

12000 Elm Creek Blvd N
Suite 120
Maple Grove, MN 55369-7074
Phone (763) 420-9960

14500 99TH Ave N
Suite 210
Maple Grove, MN 55369-4739
Phone (763) 898-1770

717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
75.41
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services CurrentSince Jul 15, 2002 Accepting new patients
Fairview Express Care CurrentSince Feb 20, 2021 Accepting new patients
Fairview Express Care CurrentSince Feb 20, 2021 Accepting new patients
Fairview Health Services CurrentSince Jul 15, 2002 Accepting new patients
Healtheast Outpatient Services, LLC Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Express Care Current Accepting new patients

Locations

15650 Cedar Ave
Ste 160
Apple Valley, MN 55124
Phone (952) 997-4170

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

3400 W 66th St
Ste 290
Minneapolis, MN 55435
Phone (952) 836-3637

4080 W Broadway Ave
Ste 300
Robbinsdale, MN 55422
Phone (763) 533-0541

1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033226717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10679 SHADY OAK CT N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553163041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 W BROADWAY AVE",
            "address_2": "#300",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554225604",
            "telephone_number": "763-533-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALMAGE",
        "first_name": "DEBORAH",
        "middle_name": "SUSAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "5867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robbinsdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.