Active NPI
Shaunte Mueller, PT
- Physical Therapist
- Saint Cloud, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1301 33Rd St S Ste 210
Saint Cloud, MN 56301-9668 - Phone
- (320) 240-6955
- NPI assigned
- Jun 3, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1301 33Rd St S Ste 210
Saint Cloud, MN 56301-9668
Mailing address
3319 Orchard Ave NE Apt 303
Sauk Rapids, MN 56379-2838
Phone (320) 249-4745
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sdwyer407761@direct.centracare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 33Rd St S
St Cloud, MN 56301-9668
Phone (320) 251-8181
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4630 | MN | MD | Physical Therapist |
| 11250 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Cloud Hospital | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| St Cloud Hospital | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients |
Locations
1301 33rd St S
Ste 210
Saint Cloud, MN 56301
Phone (320) 240-6955
1301 33rd St S
Saint Cloud, MN 56301
Phone (320) 240-6955
1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422
1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657
110 2nd St S
Ste 104
Waite Park, MN 56387
Phone (320) 259-9375
Interoperability endpoints
- sdwyer407761@direct.centracare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CentraCare - River Campus Clinic
- Multi-Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1043212665
-
- General Acute Care Hospital
- Saint Cloud, MN
- NPI 1043269798
-
dba St Cloud Hospital Outpatient Rehabilitation - South
- Physical Therapy Clinic/Center
- Saint Cloud, MN
- NPI 1679088157
-
dba CentraCare Occupations Health
- Occupational Medicine Clinic/Center
- Saint Cloud, MN
- NPI 1366192759
-
dba CentraCare - Plaza Clinic
- Multi-Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1407858020
-
dba CentraCare St Cloud Hospital Adolescent Addiction Services
- Substance Use Disorder Rehabilitation Hospital Unit
- Saint Cloud, MN
- NPI 1811150618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679961600000",
"number": "1093207375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3319 ORCHARD AVE NE APT 303",
"city": "SAUK RAPIDS",
"state": "MN",
"postal_code": "563792838",
"telephone_number": "320-249-4745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 33RD ST S STE 210",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563019668",
"telephone_number": "320-240-6955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUELLER",
"first_name": "SHAUNTE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-03",
"last_updated": "2023-03-28",
"certification_date": "2023-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sdwyer407761@direct.centracare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "sdwyer407761@direct.centracare.com",
"address_1": "1301 33rd St S Ste 210",
"city": "Saint Cloud",
"state": "MN",
"country_code": "US",
"postal_code": "563019668",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.