Individual provider Active NPI

Toni Van House

  • Physical Therapist
  • Roseville, MN
National Provider Identifier
1851167860
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13340 Issued in MN
Practice address
952 Lydia Dr W
Roseville, MN 55113-1924
Phone
(612) 419-6026
NPI assigned
Nov 30, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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 13340 MN Primary

Addresses

Primary practice location

952 Lydia Dr W
Roseville, MN 55113-1924

Mailing address

952 Lydia Dr W
Roseville, MN 55113-1924
Phone (612) 419-6026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240820003690 MN Practitioner - Physical Therapist in Private Practice 1557809621 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

Practice addresses (Care Compare)

2945 Hazelwood St
Suite 320
Maplewood, MN 55109-1244
Phone (612) 273-1172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care CurrentSince Aug 1, 2024 Accepting new patients
Healtheast Outpatient Services, LLC Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
Fairview Express Care CurrentSince Aug 1, 2024 Accepting new patients
Fairview Express Care Current Accepting new patients

Locations

2945 Hazelwood St
Ste 320
Maplewood, MN 55109
Phone (612) 273-1172

1747 Beam Ave
Ste 100
Maplewood, MN 55109
Phone (651) 232-3900

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740

1570 Beam Ave
Ste 300
Saint Paul, MN 55109
Phone (651) 232-2550

1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

Organizations & group practices 5

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": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1851167860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 LYDIA DR W",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131924",
            "telephone_number": "612-419-6026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 LYDIA DR W",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131924",
            "telephone_number": "612-419-6026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN HOUSE",
        "first_name": "TONI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "13340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.

Verify at the official NPI Registry.