Kelsey Schaefbauer, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12289 Issued in NU

Practice address

8100 Highwood Dr
Bloomington, MN 55438-1006

Phone

(952) 831-7500

NPI assigned

Jun 23, 2021

Last updated

Mar 5, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Odom Sports Medicine PAGroup PAC ID 0143485607, 63 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Odom Sports Medicine, P.a.

  dba Odom Health & Wellness

  • Sports Medicine (Family Medicine) Physician
  • Eden Prairie, MN
  • NPI 1275557886
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1528637428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 COUNTY ROAD E E",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551105003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 HIGHWOOD DR",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554381006",
            "telephone_number": "952-831-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFBAUER",
        "first_name": "KELSEY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": "12289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.friendshipvillagemn.com/?utm_medium=organic&utm_source=gmb&utm_campaign=community",
            "affiliation": "N",
            "address_1": "8100 Highwood Dr",
            "city": "Bloomington",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554381006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marquea Jeanette Sawyer
• Nadra Abdi Sayid
• Michael A Schaal, MD
• Zachary Schade, DC
• Elizabeth Schaefbauer
• Kristin M Schaefer, MD
• Mark Schaefer, PHD
• Jeffrey Paul Schaffer, PHARMD
• Paul William Schaffer, R,PH.
• Kristine Linnea Schamber

• Physical Therapist in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.