Organization Active NPI

Health Shift Physical Therapy, LLC

  • Physical Therapist
  • Maple Grove, MN
National Provider Identifier
1801627161
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HEALTH SHIFT PHYSICAL THERAPY, LLC
Practice address
North Maple Grove Chiropractic and Physical Therapy
9505 Blackoaks LN N
Maple Grove, MN 55311
Phone
(763) 420-4111
NPI assigned
Aug 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Neil Sauter, DPTNPI 1457612129
Title
Ceo
Phone
(218) 393-6006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

North Maple Grove Chiropractic and Physical Therapy
9505 Blackoaks LN N
Maple Grove, MN 55311

Mailing address

PO Box 286
Hebron, IL 60034-0286
Phone (612) 750-8315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250414001664 MN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9739603572 Receives reassigned benefits from 3 practitioners
Practice locations: Maple Grove, MN; Saint Paul, MN
O20250522002699 WI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9739603572 Receives reassigned benefits from 1 practitioner
Practice locations: Eau Claire, WI

National Provider Directory

National Provider Directory

Locations

482 Snelling Ave S
Saint Paul, MN 55116
Phone (651) 235-7445

3119 Golf Rd
Ste 7
Eau Claire, WI 54701
Phone (715) 452-4520

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1801627161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 286",
            "city": "HEBRON",
            "state": "IL",
            "postal_code": "600340286",
            "telephone_number": "612-750-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTH MAPLE GROVE CHIROPRACTIC AND PHYSICAL THERAPY",
            "address_2": "9505 BLACKOAKS LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "55311",
            "telephone_number": "763-420-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SHIFT PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "SAUTER",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "218-393-6006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.