Individual provider Active NPI

Denise Small

  • Physical Therapist
  • Edina, MN
National Provider Identifier
1699200626
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11429 Issued in MN
Practice address
5400 France Ave S
Edina, MN 55410-2356
Phone
(952) 835-4512
NPI assigned
Apr 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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 11429 MN Primary
Physical Medicine & Rehabilitation Physician 208100000X 11429 MN

Addresses

Primary practice location

5400 France Ave S
Edina, MN 55410-2356

Mailing address

5400 France Ave S
Edina, MN 55410-2356
Phone (952) 835-4512

Other practice location 1

1710 Suburban Ave
Saint Paul, MN 55106
Phone (651) 254-3200

Other practice location 2

110 E 42nd St
suite 1504
New York, NY 10017-5611
Phone (212) 354-2622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.79 of 100Reported as group
Quality
95.08
Improvement activities
40
Cost
81.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Health Collaborative, PA Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Jan 1, 2023 Accepting new patients
Minnesota Luna Care Physical Therapy LLC Physical Therapist CurrentSince Dec 11, 2023 Accepting new patients
Regions Hospital CurrentSince Jun 3, 2019 Accepting new patients
Regions Hospital CurrentSince Jun 3, 2019 Accepting new patients
Regions Hospital Current Accepting new patients

Locations

5400 France Ave S
Edina, MN 55410
Phone (952) 405-9765

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

4200 Dahlberg Dr
Ste 300
Minneapolis, MN 55422
Phone (952) 512-5600

920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155

12324 Wayzata Blvd
Minnetonka, MN 55305
Phone (528) 354-5129

428 Minnesota St
Ste 500
Saint Paul, MN 55101
Phone (612) 662-9604

1710 Suburban Ave
Saint Paul, MN 55106
Phone (651) 254-3200

640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164

Organizations & group practices 6

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": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1699200626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 FRANCE AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554102356",
            "telephone_number": "952-835-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 FRANCE AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554102356",
            "telephone_number": "952-835-4512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1710 Suburban Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "55106",
            "country_code": "US",
            "telephone_number": "651-254-3200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 E 42nd St",
            "address_2": "suite 1504",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100175611",
            "country_code": "US",
            "telephone_number": "212-354-2622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMALL",
        "first_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "11429",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MN",
            "license": "11429",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.