Cara Ahlgrim, DPT, PT
Individual provider Active NPI Physical Therapist · Saint Paul, MN
NPI 1609413335 · NPPES record last updated Sep 13, 2021
Key facts
- NPI
- 1609413335
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 12339 (MN)
- Practice address
- 1710 Suburban Ave
Saint Paul, MN 55106-6636 - Phone
- (651) 254-3200
- NPI assigned
- Dec 2, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210913001717 | MN | Practitioner - Physical Therapist in Private Practice | 1557767852 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501019309 | MI | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tria Orthopaedic Center LLC | Physical Therapist | Current |
Accepting new patients |
| Regions Hospital | Current |
Accepting new patients | |
| Regions Hospital | Current |
Accepting new patients | |
| Tria Orthopaedic Center LLC | Physical Therapist | Current |
Accepting new patients |
Locations
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 831-1626
1710 Suburban Ave
Saint Paul, MN 55106
Phone (651) 254-3200
640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 5501019309 | MI | |
| Physical Therapist | 225100000X | 12339 | MN | Yes |
Addresses
Primary practice location
1710 Suburban Ave
Saint Paul, MN 55106-6636
Mailing address
8170 33Rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516
Other practice location 1
6997 W Q Ave
Kalamazoo, MI 49009-8942
Phone (269) 301-0862
Other providers in Saint Paul, MN
- Suresh Ahanya
- Joseph Kwame Ahenkorah
- Bridget Ahern
- Jesiah Ahlemeier
- Ryan Ahlgren
- Logan Ahlness
- Marguerite Ahlstrom
- Aqeel Ahmad
- Olga T. Ahmann
- Abdulqadir Ahmed Khalif
All providers in Saint Paul, MN · Physical Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.