Active NPI
Carter Philip Kasianov, PT, DPT
- Physical Therapist
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13102
- Practice address
- 2270 Ford Pkwy Ste 200
Saint Paul, MN 55116-3412 - Phone
- (855) 324-7843
- NPI assigned
- Jun 28, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13102 | MN | Primary |
Addresses
Primary practice location
2270 Ford Pkwy Ste 200
Saint Paul, MN 55116-3412
Mailing address
700 Vikings Pkwy Unit 229
Eagan, MN 55121-1952
Phone (320) 310-3853
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
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3305 Central Park Village Dr
Suite 130
Eagan, MN 55121-7707
Phone (651) 406-8868
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.63 of 100
- Quality
- 75.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Express Care | Current | Accepting new patients | |
| Healtheast Outpatient Services, LLC | Physical Therapist | Current | Accepting new patients |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Health Services | Past | Accepting new patients |
Locations
15650 Cedar Ave
Ste 160
Apple Valley, MN 55124
Phone (952) 997-4170
1750 105th Ave NE
Blaine, MN 55449
Phone (763) 780-0356
3305 Central Park Village Dr
Ste 130
Eagan, MN 55121
Phone (651) 406-8701
6341 University Ave NE
Ste 104
Fridley, MN 55432
Phone (763) 572-4946
12000 Elm Creek Blvd N
Ste 120
Maple Grove, MN 55369
Phone (763) 420-9960
600 W 98th St
Ste 390
Minneapolis, MN 55420
Phone (952) 460-4900
10000 Zane Ave N
Minneapolis, MN 55443
Phone (763) 528-6999
3400 W 66th St
Ste 290
Minneapolis, MN 55435
Phone (952) 836-3637
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
9220 Bass Lake Rd
Ste 260
New Hope, MN 55428
Phone (763) 533-0363
2270 Ford Pkwy
Ste 200
Saint Paul, MN 55116
Phone (651) 696-5000
1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740
1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700
9680 Tamarack Rd
Ste 130
Woodbury, MN 55125
Phone (612) 273-1172
Organizations & group practices 6
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.
-
dba M Health Fairview Recovery Clinic
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Physical Therapist
- Saint Paul, MN
- NPI 1225382526
-
- Clinic/Center
- Minneapolis, MN
- NPI 1588543862
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
dba Fairview Hospital University
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1396422622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 VIKINGS PKWY UNIT 229",
"city": "EAGAN",
"state": "MN",
"postal_code": "551211952",
"telephone_number": "320-310-3853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2270 FORD PKWY STE 200",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551163412",
"telephone_number": "855-324-7843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASIANOV",
"first_name": "CARTER",
"middle_name": "PHILIP",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-28",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "13102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.