Individual provider Active NPI

Dana Deeanne Birkholz, DPT

  • Physical Therapist
  • Chanhassen, MN
National Provider Identifier
1659564243
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8012 Issued in MN
Practice address
7872 Century Blvd
Chanhassen, MN 55317-8005
Phone
(952) 448-9081
Fax
(952) 448-9088
NPI assigned
Aug 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8012 MN Primary
Sports Physical Therapist 2251S0007X 8012 MN

Addresses

Primary practice location

7872 Century Blvd
Chanhassen, MN 55317-8005

Mailing address

7872 Century Blvd
Chanhassen, MN 55317-8005
Phone (952) 448-9081

Other identifiers 1

IdentifierTypeStateIssuer
8012OtherMNSTATE LICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071107000697 MN Practitioner - Physical Therapist in Private Practice 3072600030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osr Physical Therapy Limited PartnershipGroup PAC ID 6103176540, 14 clinicians

Practice addresses (Care Compare)

110105 Pioneer TRL W
Suite 201
Chaska, MN 55318-2680
Phone (952) 512-2470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8012MNMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Osr Physical Therapy Limited Partnership Physical Therapist CurrentSince Sep 1, 2018 Accepting new patients
Osr Physical Therapy Limited Partnership CurrentSince Sep 1, 2018 Accepting new patients

Locations

7872 Century Blvd
Chanhassen, MN 55317
Phone (952) 448-9081

110105 Pioneer Trl W
Ste 201
Chaska, MN 55318
Phone (952) 512-2470

16550 W 78th St
Ste B
Eden Prairie, MN 55346
Phone (952) 873-7400

5101 Highway 101
Minnetonka, MN 55345
Phone (952) 512-2400

1667 17th Ave E
Ste 107
Shakopee, MN 55379
Phone (952) 224-8120

Organizations & group practices 2

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": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188172800000",
    "number": "1659564243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7872 CENTURY BLVD",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553178005",
            "telephone_number": "952-448-9081",
            "fax_number": "952-448-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7872 CENTURY BLVD",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553178005",
            "telephone_number": "952-448-9081",
            "fax_number": "952-448-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRKHOLZ",
        "first_name": "DANA",
        "middle_name": "DEEANNE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "8012",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "MN",
            "license": "8012",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "8012",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chanhassen, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.