Individual provider Active NPI

Carrie Lynn Sommars Maruska, D.P.T.

  • Physical Therapist
  • Golden Valley, MN
National Provider Identifier
1194915587
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5007 Issued in MN
Practice address
8301 Golden Valley Rd Ste 202
Golden Valley, MN 55427
Phone
(763) 533-0541
NPI assigned
Jul 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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 5007 MN Primary

Addresses

Primary practice location

8301 Golden Valley Rd Ste 202
Golden Valley, MN 55427

Mailing address

18650 NW Cornell Rd Ste 314
Hillsboro, OR 97124-9212
Phone (503) 216-9760

Other practice location 1

18650 NW Cornell Rd Ste 314
Hillsboro, OR 97124-9212
Phone (503) 216-9760

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180118002210 MN Practitioner - Physical Therapist in Private Practice 3375802408 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Pacific Medical College, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

Practice addresses (Care Compare)

14712 Victor Hugo Blvd N
Hugo, MN 55038-6419
Phone (651) 466-1950

717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
75.41
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5007MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Clinics CurrentSince Dec 5, 2017 Accepting new patients
Fairview Clinics Current Accepting new patients
Healtheast Outpatient Services, LLC Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Health Services CurrentSince Dec 5, 2017 Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Express Care CurrentSince Mar 1, 2020 Accepting new patients
Fairview Health Services CurrentSince Dec 5, 2017 Accepting new patients
Fairview Express Care CurrentSince Mar 1, 2020 Accepting new patients

Locations

15650 Cedar Ave
Ste 160
Apple Valley, MN 55124
Phone (952) 997-4170

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

6545 France Ave S
Ste 450A
Edina, MN 55435
Phone (952) 920-8525

8301 Golden Valley Rd
Ste 202
Golden Valley, MN 55427
Phone (763) 257-1114

12000 Elm Creek Blvd N
Ste 120
Maple Grove, MN 55369
Phone (763) 420-9960

3400 W 66th St
Ste 290
Minneapolis, MN 55435
Phone (952) 836-3637

400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

Organizations & group practices 9

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": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1194915587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18650 NW CORNELL RD STE 314",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971249212",
            "telephone_number": "503-216-9760",
            "fax_number": "503-216-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 GOLDEN VALLEY RD STE 202",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "55427",
            "telephone_number": "763-533-0541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18650 NW Cornell Rd Ste 314",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971249212",
            "country_code": "US",
            "telephone_number": "503-216-9760",
            "fax_number": "503-216-9765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARUSKA",
        "first_name": "CARRIE",
        "middle_name": "LYNN SOMMARS",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "5007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.