Samuel Rauchwarter, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10595 Issued in MN

Practice address

3580 Arcade St
Vadnais Heights, MN 55127-7135

Phone

(651) 308-5689

NPI assigned

Apr 11, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minnesota Luna Care Physical Therapy LLCGroup PAC ID 6103230172, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Minnesota Luna Care Physical Therapy LLC

  • Physical Therapist
  • Saint Paul, MN
  • NPI 1780288134
  Medicare reassignment Care Compare group NPD
• The Endurance Physio

  dba Performance Haus

  • Sports Physical Therapist
  • Scottsdale, AZ
  • NPI 1821968090
  NPD Authorized official
• Bodycentral Physical Therapy P C

  • Physical Therapy Clinic/Center
  • Tucson, AZ
  • NPI 1629057930
  NPD
• Bodycentral Physical Therapy PC

  • Customized Equipment (DME)
  • Tucson, AZ
  • NPI 1780899369
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1710410246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3144 CHOWEN AVE S APT 431",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554165477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 ARCADE ST",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551277135",
            "telephone_number": "651-308-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUCHWARTER",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "10595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Eli Pochucha, D.C.
• Katherine Elizabeth Podlewski, PA-C
• Precious Lives Home Vadnais Heights LLC
• Prudent Care LLC
• Julia Ann-Marie Rabey, PHARMD
• Trista Lee Raymond, PT, DPT
• Jonathan Rechtiene, PHARM D
• Andrea L Redmann
• Nathan L Reimnitz, PA-C
• Julie Anne Rezac, PA-C

• Physical Therapist in Vadnais Heights, MN
• Providers in Vadnais Heights, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.