Individual provider Active NPI

Holly Huso, PT, DPT

  • Physical Therapist
  • Eagan, MN
National Provider Identifier
1174005045
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11277 Issued in MN
Practice address
1284 Corporate Center Dr Ste 500
Eagan, MN 55121-1280
Phone
(612) 863-6029
NPI assigned
Sep 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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 14771 WI
Physical Therapist 225100000X 11277 MN Primary

Addresses

Primary practice location

1284 Corporate Center Dr Ste 500
Eagan, MN 55121-1280

Mailing address

1284 Corporate Center Dr Ste 500
Eagan, MN 55121-1280
Phone (612) 863-6029

Other identifiers 1

IdentifierTypeStateIssuer
11277OtherMNLICENSE

Other names 1

  • Holly Kramer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11277MNMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: hhuso555986@excellian.direct.allina.com

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1174005045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1284 CORPORATE CENTER DR STE 500",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211280",
            "telephone_number": "612-863-6029",
            "fax_number": "612-863-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1284 CORPORATE CENTER DR STE 500",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211280",
            "telephone_number": "612-863-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSO",
        "first_name": "HOLLY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "14771",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "11277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "11277",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "KRAMER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.