Individual provider Active NPI

Michael Duginski, PT, DPT

  • Physical Therapist
  • Eden Prairie, MN
National Provider Identifier
1679204010
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12654 Issued in MN
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

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 9 clinicians

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

OrganizationSpecialtyStatusNew patients
Orthorehab Specialists, Inc Physical Therapist CurrentSince Jun 26, 2023 Accepting new patients
Orthorehab Specialists, Inc. Physical Therapist CurrentSince Jun 26, 2023 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.

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.

Verify at the official NPI Registry.