Active NPI
Michael Duginski, PT, DPT
- Physical Therapist
- Eden Prairie, MN
National Provider Identifier
1679204010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12654
- Practice address
- 16550 W 78TH St Ste B
Eden Prairie, MN 55346-4316 - Phone
- (952) 873-7400
- Fax
- (952) 873-7408
- NPI assigned
- Jun 17, 2022
- Sex
- Male
- 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 | 12654 | MN | Primary |
Addresses
Primary practice location
16550 W 78TH St Ste B
Eden Prairie, MN 55346-4316
Mailing address
7872 Century Blvd
Chanhassen, MN 55317-8005
Phone (952) 448-9081
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220714001714 | MN | Practitioner - Physical Therapist in Private Practice | 3274914742 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthorehab Specialists Inc
Practice addresses (Care Compare)
6600 France Ave S
Suite 260
Edina, MN 55435-1816
Phone (952) 922-0330
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthorehab Specialists, Inc | Physical Therapist | Current | Accepting new patients |
| Orthorehab Specialists, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
825 Nicollet Mall
Ste 1935
Minneapolis, MN 55402
Phone (612) 339-2041
6600 France Ave S
Ste 260
Minneapolis, MN 55435
Phone (952) 922-0330
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.
-
- Physical Therapist
- Minneapolis, MN
- NPI 1396754206
MN, Physical Therapist
-
- Physical Therapist
- Edina, MN
- NPI 1750584777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655424000000",
"number": "1679204010",
"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": "16550 W 78TH ST STE B",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553464316",
"telephone_number": "952-873-7400",
"fax_number": "952-873-7408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUGINSKI",
"first_name": "MICHAEL",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-17",
"last_updated": "2022-06-17",
"certification_date": "2022-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "12654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.