Farah Alsaid Suliman
Individual provider Active NPI Physical Therapist · Rochester, MN
NPI 1619680246 · NPPES record last updated Dec 9, 2024
Key facts
- NPI
- 1619680246
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 13615 (MN)
- Practice address
- 1309 Salem Rd SW
Rochester, MN 55902-0993 - Phone
- (507) 322-3460
- Fax
- (507) 322-3450
- NPI assigned
- Dec 28, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Activept, Corp.
Practice addresses (Care Compare)
1309 Salem Rd SW
Rochester, MN 55902-0993
Phone (507) 322-3460
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230110002219 | MN | Practitioner - Physical Therapist in Private Practice | 0446620397 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13615 | MN | MD | Nurse Practitioner |
| 5025 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Activept Corp | Current |
Accepting new patients | |
| Pursuitpt LLC | Physical Therapist | Current |
Accepting new patients |
Locations
1309 Salem Rd SW
Rochester, MN 55902
Phone (507) 701-1127
3100 19th St NW
Ste 200
Rochester, MN 55901
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5025 | MN | |
| Physical Therapist | 225100000X | 13615 | MN | Yes |
Addresses
Primary practice location
1309 Salem Rd SW
Rochester, MN 55902-0993
Mailing address
PO Box 7197
Rochester, MN 55903-7197
Phone (507) 322-3460
Other providers in Rochester, MN
- Alpha Services Company of Rochester
- Alpha Services Company of Wisconsin LLC
- Moh'D Alqassam Badi Mohammad Alrafayia
- Ghadah Alrehaili
- Audai Abedrabboh Alrwashdeh
- Saqr Alsakarneh
- Abdullah Sulaiman a Alsaleh
- M Mrhaf Alsamman
- Meshref Ayed Alshehri
- Ali Khalid a Alsugair
All providers in Rochester, 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 Dec 9, 2024. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.