Active NPI
Charles Patrick Jude, PT
- Physical Therapist
- Aurora, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00201156
- Practice address
- 3131 S Vaughn Way
Aurora, CO 80014-3511 - Phone
- (303) 755-1116
- NPI assigned
- Aug 9, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9992 | MN | |
| Physical Therapist | 225100000X | 00201156 | CO | Primary |
Addresses
Primary practice location
3131 S Vaughn Way
Aurora, CO 80014-3511
Mailing address
4200 Dahlberg Dr Ste 300
Golden Valley, MN 55422-4841
Phone (952) 512-5600
Other practice location 1
9630 Grove Cir N Ste 200
Maple Grove, MN 55369-3492
Phone (763) 520-7870
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
- University of Minnesota Medical School, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
909 Fulton St SE
Minneapolis, MN 55455-4800
Phone (612) 672-7422
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.79 of 100
- Quality
- 95.08
- Improvement activities
- 40
- Cost
- 81.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00201156 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Health Services | Past | Accepting new patients | |
| Infinite Health Collaborative, PA | Past | Accepting new patients |
Locations
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
909 Fulton St SE
Ste 5540
Minneapolis, MN 55455
Phone (612) 676-4483
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- Durable Medical Equipment & Medical Supplies
- River Falls, WI
- NPI 1144608589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1285010546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 DAHLBERG DR STE 300",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224841",
"telephone_number": "952-512-5600",
"fax_number": "952-512-5651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 S VAUGHN WAY",
"city": "AURORA",
"state": "CO",
"postal_code": "800143511",
"telephone_number": "303-755-1116"
}
],
"practiceLocations": [
{
"address_1": "9630 Grove Cir N Ste 200",
"address_purpose": "LOCATION",
"city": "Maple Grove",
"state": "MN",
"postal_code": "553693492",
"country_code": "US",
"telephone_number": "763-520-7870",
"fax_number": "763-520-7580",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUDE",
"first_name": "CHARLES",
"middle_name": "PATRICK",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-09",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "9992",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "00201156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.