Individual provider Active NPI

Savannah M Safar, PT

  • Physical Therapist
  • Saint Paul, MN
National Provider Identifier
1073190591
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12357 Issued in MN
Practice address
30 Fairview Ave S Ste 200
Saint Paul, MN 55105-1463
Phone
(877) 609-0123
Fax
(888) 425-0398
NPI assigned
Mar 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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 299954 CA
Physical Therapist 225100000X 12357 MN Primary

Addresses

Primary practice location

30 Fairview Ave S Ste 200
Saint Paul, MN 55105-1463

Mailing address

3500 American Blvd W Ste 300
Bloomington, MN 55431-4442
Phone (952) 512-5600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210911000179 MN Practitioner - Physical Therapist in Private Practice 5496163057 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infinite Health Collaborative, PAGroup PAC ID 1052225042, 815 clinicians
Park Nicollet ClinicGroup PAC ID 7911819438, 1,778 clinicians

Practice addresses (Care Compare)

12324 Wayzata Blvd
Minnetonka, MN 55305-1919
Phone (877) 609-0123

30 Fairview Ave S
Suite 200
Saint Paul, MN 55105-1463
Phone (877) 609-0123

300 Lake Dr E
Chanhassen, MN 55317-9302
Phone (952) 993-4300

3111 124TH Ave NW
Suite 200
Coon Rapids, MN 55433-4573
Phone (763) 427-7300

5320 Hyland Greens Dr
Bloomington, MN 55437-3934
Phone (952) 993-2400

5400 France Ave S
Edina, MN 55410-2356
Phone (877) 609-0123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12357MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Park Nicollet Clinic CurrentSince Aug 23, 2021 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Feb 4, 2026 Accepting new patients
Park Nicollet Clinic Current Accepting new patients
Infinite Health Collaborative, PA Physical Therapist CurrentSince Feb 4, 2026 Accepting new patients
Park Nicollet Clinic CurrentSince Aug 23, 2021 Accepting new patients
St. Croix Orthopaedics, PA Past Accepting new patients

Locations

300 Lake Dr E
Chanhassen, MN 55317
Phone (952) 993-4300

5400 France Ave S
Edina, MN 55410
Phone (952) 405-9765

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

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

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

3500 American Blvd W
Ste 300
Minneapolis, MN 55431
Phone (952) 512-5600

12324 Wayzata Blvd
Minnetonka, MN 55305
Phone (528) 354-5129

30 Fairview Ave S
#200
Saint Paul, MN 55105

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": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1073190591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 AMERICAN BLVD W STE 300",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554314442",
            "telephone_number": "952-512-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 FAIRVIEW AVE S STE 200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551051463",
            "telephone_number": "877-609-0123",
            "fax_number": "888-425-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFAR",
        "first_name": "SAVANNAH",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299954",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "12357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.