Organization Active NPI

Gateway Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • North St Paul, MN
National Provider Identifier
1386830768
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
GATEWAY PHYSICAL THERAPY, INC
Practice address
2601 Centennial Dr Ste 101
North St Paul, MN 55109-3087
Phone
(651) 748-0372
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
Jane Cowley, PTNPI 1235247875
Title
Director
Phone
(651) 748-0372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2601 Centennial Dr Ste 101
North St Paul, MN 55109-3087

Mailing address

2601 Centennial Dr Ste 101
North St Paul, MN 55109-3087
Phone (651) 748-0372

Other identifiers 1

IdentifierTypeStateIssuer
2478325-2OtherCORPORATE CHARTER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080226000884 MN Part B Supplier - Clinic/Group Practice 1658455837 Receives reassigned benefits from 1 practitioner
Practice locations: North St Paul, MN

National Provider Directory

National Provider Directory

Locations

2601 Centennial Dr
Ste 101
Saint Paul, MN 55109
Phone (651) 224-4930

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1386830768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 CENTENNIAL DR STE 101",
            "city": "NORTH ST PAUL",
            "state": "MN",
            "postal_code": "551093087",
            "telephone_number": "651-748-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 CENTENNIAL DR STE 101",
            "city": "NORTH ST PAUL",
            "state": "MN",
            "postal_code": "551093087",
            "telephone_number": "651-748-0372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "COWLEY",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "651-748-0372",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATE CHARTER NUMBER",
            "identifier": "2478325-2",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North St Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.