Individual provider Active NPI

Kelly Sue Stokes, PT

  • Physical Therapist
  • Rosemount, MN
National Provider Identifier
1497868095
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7160 Issued in MN
Practice address
15075 Cimarron Ave
#20
Rosemount, MN 55068-1635
Phone
(651) 322-8888
Fax
(651) 322-8889
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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 7160 MN Primary

Addresses

Primary practice location

15075 Cimarron Ave
#20
Rosemount, MN 55068-1635

Mailing address

1308 Deercliff LN
Eagan, MN 55123-1436

Other names 1

  • Kelly Sue Running Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060321000537 MN Practitioner - Physical Therapist in Private Practice 3779590427 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Orthopedics, LTDGroup PAC ID 8921900374, 282 clinicians

Practice addresses (Care Compare)

2620 Eagan Woods Dr
Eagan, MN 55121-1138
Phone (651) 968-5201

625 Snelling Ave S
Saint Paul, MN 55116-1529
Phone (651) 699-4169

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Orthopedics, LTD Current Accepting new patients
Fairview Health Services Current Accepting new patients
Summit Orthopedics LTD CurrentSince Jan 12, 2022 Accepting new patients
Summit Orthopedics, LTD. CurrentSince Jan 12, 2022 Accepting new patients
Renew Physical Therapy Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
Fairview Health Services CurrentSince Feb 26, 2003 Accepting new patients
Fairview Health Services CurrentSince Feb 26, 2003 Accepting new patients
Joy Physical Therapy Inc. Physical Therapist PastSince Jan 1, 2020 Accepting new patients

Locations

15650 Cedar Ave
Ste 160
Apple Valley, MN 55124
Phone (952) 997-4170

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

15075 Cimarron Ave
Ste 20
Rosemount, MN 55068
Phone (651) 322-8888

1661 Saint Anthony Ave
Saint Paul, MN 55104
Phone (651) 968-5300

625 Snelling Ave S
Saint Paul, MN 55116
Phone (651) 699-4169

2620 Eagan Woods Dr
Saint Paul, MN 55121
Phone (651) 968-5142

710 Commerce Dr
Ste 200
Woodbury, MN 55125
Phone (651) 968-5042

Organizations & group practices 8

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1497868095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 DEERCLIFF LN",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551231436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15075 CIMARRON AVE",
            "address_2": "#20",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550681635",
            "telephone_number": "651-322-8888",
            "fax_number": "651-322-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKES",
        "first_name": "KELLY",
        "middle_name": "SUE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "7160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "RUNNING",
            "middle_name": "SUE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rosemount, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.