Active NPI
Susan Holmquist, MSPT
- Physical Therapist
- Saint Paul, MN
National Provider Identifier
1518712751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6939
- Practice address
- 1925 Norfolk Ave
Saint Paul, MN 55116-2575 - Phone
- (651) 294-6500
- NPI assigned
- Apr 22, 2024
- Sex
- Female
- 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 | 6939 | MN | Primary |
Addresses
Primary practice location
1925 Norfolk Ave
Saint Paul, MN 55116-2575
Mailing address
6392 178TH St W
Lakeville, MN 55044-4804
Phone (612) 360-4121
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, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1925 Norfolk Ave
Saint Paul, MN 55116-2575
Phone (651) 631-6570
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optage Inc | Physical Therapist | Current | Accepting new patients |
| Optage Inc | Physical Therapist | Current | Accepting new patients |
Locations
2845 Hamline Ave N
Saint Paul, MN 55113
Phone (651) 631-6100
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": "1713744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713744000000",
"number": "1518712751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6392 178TH ST W",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550444804",
"telephone_number": "612-360-4121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 NORFOLK AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551162575",
"telephone_number": "651-294-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMQUIST",
"first_name": "SUSAN",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-22",
"last_updated": "2024-04-22",
"certification_date": "2024-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "6939",
"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 Apr 22, 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.