Individual provider Active NPI

Rachel A Hedden-Russell, PT

  • Physical Therapist
  • Coon Rapids, MN
National Provider Identifier
1730536665
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10381 Issued in MN
Practice address
600 Coon Rapids Blvd NW Ste 150
Coon Rapids, MN 55433-5549
Phone
(651) 968-5201
Fax
(651) 968-5903
NPI assigned
May 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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 10381 MN Primary

Addresses

Primary practice location

600 Coon Rapids Blvd NW Ste 150
Coon Rapids, MN 55433-5549

Mailing address

710 Commerce Dr Ste 200
Woodbury, MN 55125-4925

Other names 1

  • Rachel Hedden Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160622000061 MN Practitioner - Physical Therapist in Private Practice 5294026233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Orthopedics, LTDGroup PAC ID 8921900374, 282 clinicians

Practice addresses (Care Compare)

600 Coon Rapids Blvd NW
Suite 150
Coon Rapids, MN 55433-5549
Phone (651) 968-5201

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

State licenses

LicenseStateTypeSpecialty
10381MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Orthopedics, LTD Current Accepting new patients
Vadnais Heights Surgery Center LLC PastSince May 31, 2016 Accepting new patients
Infinite Health Collaborative, PA Past Accepting new patients

Locations

10230 Baltimore St NE
#300
Blaine, MN 55449
Phone (651) 968-5300

600 Coon Rapids Blvd NW
#150
Coon Rapids, MN 55433
Phone (651) 968-5300

9630 Grove Cir N
Ste 200
Maple Grove, MN 55369
Phone (763) 520-7580

6050 Sycamore Ln N
Plymouth, MN 55442
Phone (651) 968-5462

1661 Saint Anthony Ave
Saint Paul, MN 55104
Phone (651) 968-5300

3580 Arcade St
Vadnais Heights, MN 55127
Phone (651) 968-5600

3580 Arcade St
#200
Vadnais Heights, MN 55127
Phone (651) 968-5790

710 Commerce Dr
Ste 200
Woodbury, MN 55125
Phone (651) 968-5042

Organizations & group practices 3

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": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1730536665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 COMMERCE DR STE 200",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 COON RAPIDS BLVD NW STE 150",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554335549",
            "telephone_number": "651-968-5201",
            "fax_number": "651-968-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDDEN-RUSSELL",
        "first_name": "RACHEL",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-20",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "10381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "HEDDEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.