Individual provider Active NPI

Elizabeth Catherine Niemuth, PT

  • Physical Therapist
  • Burnsville, MN
National Provider Identifier
1588979082
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8567 Issued in MN
Practice address
675 E Nicollet Blvd
135
Burnsville, MN 55337-6741
Phone
(952) 892-2650
NPI assigned
Aug 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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 8567 MN Primary

Addresses

Primary practice location

675 E Nicollet Blvd
135
Burnsville, MN 55337-6741

Mailing address

841 Eagle Ridge LN
Stillwater, MN 55082-9122

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101122000823 MN Practitioner - Physical Therapist in Private Practice 7517153117 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tria Orthopaedic Center LLCGroup PAC ID 3173570561, 504 clinicians

Practice addresses (Care Compare)

155 Radio Dr
Woodbury, MN 55125-2619
Phone (952) 831-8742

8100 Northland Dr
Bloomington, MN 55431-4800
Phone (952) 831-8742

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8567MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tria Orthopaedic Center LLC Physical Therapist CurrentSince Oct 2, 2023 Accepting new patients
Fairview Express Care CurrentSince Mar 1, 2020 Accepting new patients
Fairview Health Services CurrentSince Jul 17, 2010 Accepting new patients
Fairview Express Care Current Accepting new patients
Tria Orthopaedic Center LLC Physical Therapist CurrentSince Oct 2, 2023 Accepting new patients
Fairview Express Care CurrentSince Mar 1, 2020 Accepting new patients
Fairview Health Services CurrentSince Jul 17, 2010 Accepting new patients
Fairview Health Services Current 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

675 E Nicollet Blvd
Ste 135
Burnsville, MN 55337
Phone (952) 892-2650

6545 France Ave S
Ste 450
Edina, MN 55435
Phone (612) 626-6688

6341 University Ave NE
Ste 104
Fridley, MN 55432
Phone (763) 572-4946

14712 Victor Hugo Blvd N
Hugo, MN 55038
Phone (651) 466-1900

12000 Elm Creek Blvd N
Ste 120
Maple Grove, MN 55369
Phone (763) 420-9960

400 Stinson Blvd
#2
Minneapolis, MN 55413
Phone (612) 672-2294

8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 831-1626

10000 Zane Ave N
Minneapolis, MN 55443
Phone (763) 528-6999

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

600 W 98th St
Ste 390
Minneapolis, MN 55420
Phone (952) 460-4900

2600 39th Ave NE
Ste 220
Saint Anthony, MN 55421
Phone (612) 672-7100

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": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1588979082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 EAGLE RIDGE LN",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550829122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 E NICOLLET BLVD",
            "address_2": "135",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376741",
            "telephone_number": "952-892-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMUTH",
        "first_name": "ELIZABETH",
        "middle_name": "CATHERINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-10",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "8567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.