Individual provider Active NPI

Samuel Tindall, PT, DPT

  • Physical Therapist
  • Inver Grove Heights, MN
National Provider Identifier
1801405659
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11948 Issued in MN
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

Updated by the provider on Oct 8, 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 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

Enrollment IDStateProvider typePAC IDDetails
I20210423001900 MN Practitioner - Physical Therapist in Private Practice 0941618334 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Piff Holdings, P.C. Physical Therapist CurrentSince Jul 19, 2021 Accepting new patients
Minnesota Luna Care Physical Therapy LLC Physical Therapist CurrentSince Oct 28, 2025 Accepting new patients
Therapy Ops, LLC Physical Therapist CurrentSince Mar 1, 2021 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.

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.

Verify at the official NPI Registry.