Individual provider Active NPI

Sarah Elizabeth Quinlan, DPT

  • Physical Therapist
  • Lakeville, MN
National Provider Identifier
1285085688
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10322 Issued in MN
Practice address
Life Wellness Center
10551 165TH St W
Lakeville, MN 55044-5737
Phone
(952) 435-5300
NPI assigned
Jun 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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 10322 MN Primary

Addresses

Primary practice location

Life Wellness Center
10551 165TH St W
Lakeville, MN 55044-5737

Mailing address

1769 Gabbro TRL
Eagan, MN 55122-2918

Other practice location 1

6401 France Ave S
Rehab Services, LL3G
Edina, MN 55435-2104
Phone (952) 924-8091

Other names 1

  • Dr. Sarah Elizabeth Duplissis Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250114001796 MN Practitioner - Physical Therapist in Private Practice 3678009321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Wellness Center IncGroup PAC ID 3274584438, 4 clinicians

Practice addresses (Care Compare)

10551 165TH St W
Lakeville, MN 55044-5737
Phone (952) 435-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10322MNMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Life Wellness Center, Inc. Physical Therapist CurrentSince Nov 18, 2024 Accepting new patients
Life Wellness Center-Eagan, PA Physical Therapist PastSince Nov 17, 2024 Accepting new patients

Locations

10551 165th St W
Lakeville, MN 55044
Phone (952) 435-5300

Organizations & group practices 2

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": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1285085688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1769 GABBRO TRL",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LIFE WELLNESS CENTER",
            "address_2": "10551 165TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550445737",
            "telephone_number": "952-435-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6401 France Ave S",
            "address_2": "Rehab Services, LL3G",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554352104",
            "country_code": "US",
            "telephone_number": "952-924-8091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINLAN",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "10322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "DUPLISSIS",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakeville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.

Verify at the official NPI Registry.