Individual provider Active NPI

Karen Maudal, PT

  • Physical Therapist
  • Saint Paul, MN
National Provider Identifier
1780624759
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4732 Issued in MN
Practice address
1710 Suburban Ave
Saint Paul, MN 55106
Phone
(651) 254-3200
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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 4732 MN Primary

Addresses

Primary practice location

1710 Suburban Ave
Saint Paul, MN 55106

Mailing address

8170 33Rd Ave S
Mail Stop 21110Q
Bloomington, MN 55425-4516
Phone (651) 254-3200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180910002420 MN Practitioner - Physical Therapist in Private Practice 5799035994 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Washington University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

Practice addresses (Care Compare)

15650 Cedar Ave
Suite 160
Apple Valley, MN 55124-7283
Phone (952) 997-4170

15650 Cedar Ave S
Apple Valley, MN 55124-7283
Phone (952) 997-4100

18580 Joplin Ave
Lakeville, MN 55044-4218
Phone (952) 892-9555

18592 Joplin Ave
Lakeville, MN 55044-4218
Phone (952) 892-9551

717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
75.41
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care CurrentSince Apr 1, 2022 Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Express Care CurrentSince Apr 1, 2022 Accepting new patients
Healtheast Outpatient Services, LLC Physical Therapist CurrentSince Apr 1, 2022 Accepting new patients
Fairview Health Services Past Accepting new patients

Locations

15650 Cedar Ave
Ste 160
Apple Valley, MN 55124
Phone (952) 997-4170

12000 Elm Creek Blvd N
Ste 120
Maple Grove, MN 55369
Phone (763) 420-9960

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

10961 Club West Pkwy
Ste 200
Minneapolis, MN 55449
Phone (763) 528-2922

1570 Beam Ave
Ste 300
Saint Paul, MN 55109
Phone (651) 232-2550

1390 University Ave W
Saint Paul, MN 55104
Phone (651) 232-4800

1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740

1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

Organizations & group practices 5

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1780624759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S",
            "address_2": "MAIL STOP 21110Q",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554254516",
            "telephone_number": "651-254-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 SUBURBAN AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55106",
            "telephone_number": "651-254-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUDAL",
        "first_name": "KAREN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "4732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.