Active NPI
Samantha Burwinkel, DPT
- Physical Therapist
- Bloomington, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12237
- Practice address
- 4801 W 81St St Ste 112
Bloomington, MN 55437-1111 - Phone
- (952) 345-3000
- Fax
- (952) 345-6789
- NPI assigned
- Jun 14, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12237 | MN | Primary |
Addresses
Primary practice location
4801 W 81St St Ste 112
Bloomington, MN 55437-1111
Mailing address
4801 W 81St St Ste 112
Bloomington, MN 55437-1111
Phone (952) 345-3000
Other names 1
- Samantha Nofsinger
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221215001452 | MN | Practitioner - Physical Therapist in Private Practice | 0840673521 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5320 Hyland Greens Dr
Bloomington, MN 55437-3934
Phone (952) 993-2400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12237 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Nicollet Clinic | Current | Accepting new patients | |
| Park Nicollet Clinic | Current | Accepting new patients | |
| National Dizzy & Balance Center,LTD. | Physical Therapist | Current | Accepting new patients |
| Tria Orthopaedic Center LLC | Physical Therapist | Current | Accepting new patients |
Locations
1630 101st Ave NE
Ste 160
Blaine, MN 55449
Phone (763) 786-6900
8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 831-1626
5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400
4801 W 81st St
Ste 112
Minneapolis, MN 55437
Phone (952) 345-3000
Organizations & group practices 4
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.
-
- Physical Medicine & Rehabilitation Physician
- Bloomington, MN
- NPI 1023021938
MN, Physical Therapist
-
- Orthopaedic Surgery Physician
- Bloomington, MN
- NPI 1518273085
MN, Physical Therapist
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1063897593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1659949048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 W 81ST ST STE 112",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554371111",
"telephone_number": "952-345-3000",
"fax_number": "952-345-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 W 81ST ST STE 112",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554371111",
"telephone_number": "952-345-3000",
"fax_number": "952-345-6789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURWINKEL",
"first_name": "SAMANTHA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-14",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "12237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "NOFSINGER",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.