Individual provider Active NPI

Eileen Connal

  • Physical Therapist
  • New Ulm, MN
National Provider Identifier
1154970994
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13581 Issued in MN
Practice address
1324 5TH North St
New Ulm, MN 56073-1514
Phone
(507) 217-5173
NPI assigned
Sep 4, 2019
Last updated
Jan 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 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 PT5486 ME
Physical Therapist 225100000X 13581 MN Primary

Addresses

Primary practice location

1324 5TH North St
New Ulm, MN 56073-1514

Mailing address

315 College Ave
Saint Peter, MN 56082-1455
Phone (585) 698-0399

Other practice location 1

690 Minot Ave Ste 1
Auburn, ME 04210-3968
Phone (207) 783-3450

Other practice location 2

176 Livermore Falls Rd Unit 1
Farmington, ME 04938-6243
Phone (207) 778-3370 ext. 20777

Other practice location 3

17305 Cedar Ave S Ste 110
Lakeville, MN 55044-3902
Phone (953) 952-3711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190923000674 ME Practitioner - Physical Therapist in Private Practice 7113257965
I20241203001808 MN Practitioner - Physical Therapist in Private Practice 7113257965 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT5486MEMDPhysical Therapist
13581MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novacare Outpatient Rehabilitation East Inc CurrentSince Nov 1, 2024 Accepting new patients
Novacare Outpatient Rehabilitation East Inc Physical Therapist Current Accepting new patients
Novacare Outpatient Rehabilitation East Inc CurrentSince Nov 1, 2024 Accepting new patients

Locations

17305 Cedar Ave S
Ste 110
Lakeville, MN 55044
Phone (952) 953-3711

10091 Dogwood St NW
Minneapolis, MN 55448
Phone (763) 450-0298

6605 Nicollet Ave
Richfield, MN 55423
Phone (612) 872-2700

Interoperability endpoints

  • Direct secure messaging: econnal688333@excellian.direct.allina.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1154970994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 COLLEGE AVE",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560821455",
            "telephone_number": "585-698-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 5TH NORTH ST",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "560731514",
            "telephone_number": "507-217-5173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "690 Minot Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "ME",
            "postal_code": "042103968",
            "country_code": "US",
            "telephone_number": "207-783-3450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "176 Livermore Falls Rd Unit 1",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "ME",
            "postal_code": "049386243",
            "country_code": "US",
            "telephone_number": "207-778-3370 x20777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17305 Cedar Ave S Ste 110",
            "address_purpose": "LOCATION",
            "city": "Lakeville",
            "state": "MN",
            "postal_code": "550443902",
            "country_code": "US",
            "telephone_number": "953-952-3711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNAL",
        "first_name": "EILEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT5486",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "13581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Ulm, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.