Susan Elizabeth Kreiner, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2324 Issued in MN

Practice address

725 Town Center Pkwy
Lino Lakes, MN 55014-1127

Phone

(763) 807-0835

NPI assigned

May 31, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehabilitation Services MN LLCGroup PAC ID 0941542591, 64 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fox Rehabilitation Services MN LLC

  • Physical Therapist
  • Minnetonka, MN
  • NPI 1356802862
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1275272106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3761 169TH LN NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553041810",
            "telephone_number": "763-807-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 TOWN CENTER PKWY",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550141127",
            "telephone_number": "763-807-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREINER",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "2324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Johnson, OTR/L
• Kellie Kershisnik, MD
• Key Medical Supply, Inc.
• Sharon Lorraine King, RN
• Kaylee Jean Koski, DDS
• Lakes Family Chiropractic Clinic P.a.
• Stephanie Lasch, LCMT
• Douglas J Latuseck, PSYD, LP
• Payton Christine Le, LMFT
• Pamela Lynn Lenz, CCC-SLP

• Physical Therapist in Lino Lakes, MN
• Providers in Lino Lakes, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.