Individual provider Active NPI

Austin Treadwell, DPT

  • Physical Therapist
  • Minneapolis, MN
National Provider Identifier
1083494397
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13298 Issued in MN
Practice address
2500 Highway 88 Ste 214
Minneapolis, MN 55418-4228
Phone
(901) 626-8996
NPI assigned
Oct 3, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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 13298 MN Primary

Addresses

Primary practice location

2500 Highway 88 Ste 214
Minneapolis, MN 55418-4228

Mailing address

2500 Highway 88 Ste 214
Minneapolis, MN 55418-4228
Phone (901) 626-8996

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241211003658 MN Practitioner - Physical Therapist in Private Practice 1254867468 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minnesota Luna Care Physical Therapy LLCGroup PAC ID 6103230172, 36 clinicians

Practice addresses (Care Compare)

428 Minnesota St
Suite 500
Saint Paul, MN 55101-2666
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13298MNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prava PC Physical Therapist CurrentSince Jan 7, 2026 Accepting new patients
Dr Moses S M Smith Chiropractic LLC CurrentSince Dec 30, 2024 Accepting new patients
Minnesota Luna Care Physical Therapy LLC Physical Therapist CurrentSince Oct 16, 2025 Accepting new patients
Treadwell, DPT Limited Liability Company CurrentSince Jun 3, 2025 Accepting new patients
Lucky Cat Acupuncture and Herbal Medicine Past Accepting new patients

Locations

2500 Highway 88
Ste 214
Minneapolis, MN 55418
Phone (901) 626-8996

3541 Lyndale Ave S
Minneapolis, MN 55408
Phone (612) 824-1829

428 Minnesota St
Ste 500
Saint Paul, MN 55101
Phone (612) 662-9604

Organizations & group practices 5

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": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1083494397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 HIGHWAY 88 STE 214",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554184228",
            "telephone_number": "901-626-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HIGHWAY 88 STE 214",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554184228",
            "telephone_number": "901-626-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREADWELL",
        "first_name": "AUSTIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-03",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "13298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

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