Active NPI
Daniel B Stark, DPT
- Physical Therapist
- Oak Park Heights, MN
National Provider Identifier
1790230688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12924
- Practice address
- 5803 Neal Ave N
Oak Park Heights, MN 55082-2177 - Phone
- (651) 439-8807
- Fax
- (651) 439-0232
- NPI assigned
- Aug 20, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12924 | MN | Primary |
Addresses
Primary practice location
5803 Neal Ave N
Oak Park Heights, MN 55082-2177
Mailing address
5803 Neal Ave N
Oak Park Heights, MN 55082-2177
Phone (651) 439-8807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
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
Practice addresses (Care Compare)
3111 124TH Ave NW
Suite 200
Coon Rapids, MN 55433-4573
Phone (763) 427-7300
5715 Memorial Ave N
Oak Park Heights, MN 55082-1093
Phone (651) 439-8807
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.79 of 100
- Quality
- 95.08
- Improvement activities
- 40
- Cost
- 81.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12924 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Health Collaborative, PA | Current | Accepting new patients | |
| Infinite Health Collaborative, PA | Physical Therapist | Current | Accepting new patients |
| Infinite Health Collaborative, PA | Past | Accepting new patients |
Locations
920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155
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.
-
- Orthopaedic Surgery Physician
- Bloomington, MN
- NPI 1164474250
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Hudson, WI
- NPI 1568840916
-
- Durable Medical Equipment & Medical Supplies
- River Falls, WI
- NPI 1144608589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471651200000",
"number": "1790230688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5803 NEAL AVE N",
"city": "OAK PARK HEIGHTS",
"state": "MN",
"postal_code": "550822177",
"telephone_number": "651-439-8807",
"fax_number": "651-439-0232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5803 NEAL AVE N",
"city": "OAK PARK HEIGHTS",
"state": "MN",
"postal_code": "550822177",
"telephone_number": "651-439-8807",
"fax_number": "651-439-0232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARK",
"first_name": "DANIEL",
"middle_name": "B",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-20",
"last_updated": "2016-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "12924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park Heights, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2016; 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.