Individual provider Active NPI

Carrie Schoeder

  • Physical Therapist
  • St Louis Park, MN
National Provider Identifier
1609265925
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8988 Issued in MN
Practice address
3530 Minikahda CT Apt 1
St Louis Park, MN 55416-4943
Phone
(952) 200-0577
NPI assigned
Jan 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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 8988 MN Primary

Addresses

Primary practice location

3530 Minikahda CT Apt 1
St Louis Park, MN 55416-4943

Mailing address

3530 Minikahda CT Apt 1
St Louis Park, MN 55416-4943

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240813000473 MN Practitioner - Physical Therapist in Private Practice 3274071048 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Services MN LLCGroup PAC ID 0941542591, 64 clinicians
Minnesota Luna Care Physical Therapy LLCGroup PAC ID 6103230172, 36 clinicians

Practice addresses (Care Compare)

Minnetonka, MN 55305
Phone (877) 407-3422

428 Minnesota St
Suite 500
Saint Paul, MN 55101-2666
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8988MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services MN LLC Physical Therapist CurrentSince Jun 1, 2025 Accepting new patients
Active Therapy MN Physical Therapist CurrentSince May 2, 2024 Accepting new patients
Minnesota Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jan 17, 2025 Accepting new patients

Locations

6633 N Lincoln Ave
Lincolnwood, IL 60712
Phone (773) 399-9570

428 Minnesota St
Ste 500
Saint Paul, MN 55101
Phone (612) 662-9604

Organizations & group practices 3

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": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1609265925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 MINIKAHDA CT APT 1",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554164943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 MINIKAHDA CT APT 1",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554164943",
            "telephone_number": "952-200-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOEDER",
        "first_name": "CARRIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "8988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.