Active NPI
Samuel Tindall, PT, DPT
- Physical Therapist
- Inver Grove Heights, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11948
- Practice address
- 2925 Buckley Way
Inver Grove Heights, MN 55076-2018 - Phone
- (651) 455-0561
- Fax
- (651) 457-4401
- NPI assigned
- Jul 28, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 11948 | MN | Primary |
Addresses
Primary practice location
2925 Buckley Way
Inver Grove Heights, MN 55076-2018
Mailing address
2201 Albert St N Apt 104
Roseville, MN 55113-4205
Phone (612) 751-1636
Other practice location 1
5800 Saint Croix Ave N
Golden Valley, MN 55422-4446
Phone (612) 246-3592
Other practice location 2
2795 Pilot Knob Rd Ste 100
Eagan, MN 55121-1930
Phone (651) 994-9644 ext. 49644
Other practice location 3
14635 Pennock Ave Ste 300
Apple Valley, MN 55124-6588
Phone (651) 994-9644 ext. 49644
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piff Holdings, P.C. | Physical Therapist | Current | Accepting new patients |
| Minnesota Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Therapy Ops, LLC | Physical Therapist | Current | Accepting new patients |
Locations
13955 W Preserve Blvd
Ste 200
Burnsville, MN 55337
Phone (952) 890-0804
2925 Buckley Way
Inver Grove Heights, MN 55076
Phone (651) 455-0561
428 Minnesota St
Ste 500
Saint Paul, MN 55101
Phone (612) 662-9604
Organizations & group practices 4
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.
-
- Physical Therapist
- Saint Paul, MN
- NPI 1780288134
-
- Speech-Language Pathologist
- Inver Grove Heights, MN
- NPI 1013323559
Physical Therapist
-
- Speech-Language Pathologist
- Eagan, MN
- NPI 1295809366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1801405659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 ALBERT ST N APT 104",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551134205",
"telephone_number": "612-751-1636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2925 BUCKLEY WAY",
"city": "INVER GROVE HEIGHTS",
"state": "MN",
"postal_code": "550762018",
"telephone_number": "651-455-0561",
"fax_number": "651-457-4401"
}
],
"practiceLocations": [
{
"address_1": "5800 Saint Croix Ave N",
"address_purpose": "LOCATION",
"city": "Golden Valley",
"state": "MN",
"postal_code": "554224446",
"country_code": "US",
"telephone_number": "612-246-3592",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2795 Pilot Knob Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Eagan",
"state": "MN",
"postal_code": "551211930",
"country_code": "US",
"telephone_number": "651-994-9644 x49644",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14635 Pennock Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Apple Valley",
"state": "MN",
"postal_code": "551246588",
"country_code": "US",
"telephone_number": "651-994-9644 x49644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TINDALL",
"first_name": "SAMUEL",
"name_prefix": "Mr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-28",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "11948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Inver Grove Heights, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.