Individual provider Active NPI

Chee Vang, PT

  • Physical Therapist
  • Eagan, MN
National Provider Identifier
1043720451
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10966 Issued in MN
Practice address
2700 Vikings Cir
Eagan, MN 55121
Phone
(952) 456-7600
Fax
(952) 456-7601
NPI assigned
Oct 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13973-24 WI
Physical Therapist 225100000X 10966 MN Primary

Addresses

Primary practice location

2700 Vikings Cir
Eagan, MN 55121

Mailing address

4200 Dahlberg Dr Ste 300
Golden Valley, MN 55422-4841
Phone (952) 847-4029

Other practice location 1

1755 Wittington Pl Ste 175
Dallas, TX 75234-1905
Phone (214) 442-4210

Other practice location 2

1755 Wittington Pl Ste 175
Dallas, TX 75234-1905
Phone (214) 442-4210

Other practice location 3

10961 Club West Pkwy Ste 200
Blaine, MN 55449
Phone (763) 528-2992

Other practice location 4

2401 Plover Rd
Plover, WI 54467-3916
Phone (715) 295-3800

Other practice location 5

10961 Club West Pkwy Ste 200
Blaine, MN 55449
Phone (763) 528-2992

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180809000006 MN Practitioner - Physical Therapist in Private Practice 8123376084 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infinite Health Collaborative, PAGroup PAC ID 1052225042, 815 clinicians

Practice addresses (Care Compare)

2700 Vikings Cir
Eagan, MN 55121-1002
Phone (952) 456-7600

Merit-based Incentive Payment System (MIPS)

Final score
91.79 of 100Reported as group
Quality
95.08
Improvement activities
40
Cost
81.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13973-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services CurrentSince Jun 30, 2018 Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Health Services CurrentSince Jun 30, 2018 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Aug 5, 2019 Accepting new patients
Infinite Health Collaborative, PA Physical Therapist CurrentSince Aug 5, 2019 Accepting new patients
Infinite Health Collaborative, PA Past Accepting new patients

Locations

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

2700 Vikings Cir
Eagan, MN 55121
Phone (952) 456-7600

4200 Dahlberg Dr
Ste 300
Minneapolis, MN 55422
Phone (952) 512-5600

6545 France Ave S
Minneapolis, MN 55435
Phone (952) 848-5600

10961 Club West Pkwy
Ste 200
Minneapolis, MN 55449
Phone (763) 528-2922

920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155

Organizations & group practices 6

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": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1043720451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 DAHLBERG DR STE 300",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224841",
            "telephone_number": "952-847-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 VIKINGS CIR",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "55121",
            "telephone_number": "952-456-7600",
            "fax_number": "952-456-7601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1755 Wittington Pl Ste 175",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752341905",
            "country_code": "US",
            "telephone_number": "214-442-4210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1755 Wittington Pl Ste 175",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752341905",
            "country_code": "US",
            "telephone_number": "214-442-4210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10961 Club West Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "MN",
            "postal_code": "55449",
            "country_code": "US",
            "telephone_number": "763-528-2992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 Plover Rd",
            "address_purpose": "LOCATION",
            "city": "Plover",
            "state": "WI",
            "postal_code": "544673916",
            "country_code": "US",
            "telephone_number": "715-295-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10961 Club West Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "MN",
            "postal_code": "55449",
            "country_code": "US",
            "telephone_number": "763-528-2992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANG",
        "first_name": "CHEE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-11",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13973-24",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "10966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.