Active NPI
Teresa Louise-Keller Gurin, M.D.
- Physical Medicine & Rehabilitation Physician
- Eagan, MN
National Provider Identifier
1821046566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 39052
- Practice address
- 4660 Slater Rd Ste 240
Eagan, MN 55122-4047 - Phone
- (952) 223-3339
- Fax
- (952) 314-1401
- NPI assigned
- May 5, 2006
- Sex
- Female
- 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 Medicine & Rehabilitation Physician | 208100000X | 39052 | MN | Primary |
Addresses
Primary practice location
4660 Slater Rd Ste 240
Eagan, MN 55122-4047
Mailing address
4660 Slater Rd Ste 240
Eagan, MN 55122-4047
Phone (952) 223-3339
Other practice location 1
825 Nicollet Mall
Suite 809
Minneapolis, MN 55402-2606
Phone (952) 223-3339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 16, 2025 through Oct 16, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- teresa.gurin.1@27948.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572998400000",
"number": "1821046566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4660 SLATER RD STE 240",
"city": "EAGAN",
"state": "MN",
"postal_code": "551224047",
"telephone_number": "952-223-3339",
"fax_number": "952-314-1401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 SLATER RD STE 240",
"city": "EAGAN",
"state": "MN",
"postal_code": "551224047",
"telephone_number": "952-223-3339",
"fax_number": "952-314-1401"
}
],
"practiceLocations": [
{
"address_1": "825 Nicollet Mall",
"address_2": "Suite 809",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554022606",
"country_code": "US",
"telephone_number": "952-223-3339",
"fax_number": "952-314-1401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GURIN",
"first_name": "TERESA",
"middle_name": "LOUISE-KELLER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2019-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MN",
"license": "39052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.