Active NPI
Eric Nathan Putz, PT
- Physical Therapist
- Saint Paul, MN
National Provider Identifier
1851407233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7820
- Practice address
- 652 Transfer Rd
Suite 16
Saint Paul, MN 55114-1427 - Phone
- (651) 646-1625
- NPI assigned
- Aug 21, 2006
- 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 | 7820 | MN | Primary |
Addresses
Primary practice location
652 Transfer Rd
Suite 16
Saint Paul, MN 55114-1427
Mailing address
250 Carlson Pkwy Apt 323
Minnetonka, MN 55305-5321
Phone (352) 672-2477
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7820 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novacare Outpatient Rehabilitation East Inc | Past | Accepting new patients | |
| Novacare Outpatient Rehabilitation East Inc | Past | Accepting new patients |
Interoperability endpoints
- eputz206306@excellian.direct.allina.com
Organizations & group practices 2
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 Therapy Clinic/Center
- Saint Paul, MN
- NPI 1538351945
-
- Physical Therapy Clinic/Center
- Ferndale, MI
- NPI 1245235191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851407233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 CARLSON PKWY APT 323",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553055321",
"telephone_number": "352-672-2477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "652 TRANSFER RD",
"address_2": "SUITE 16",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141427",
"telephone_number": "651-646-1625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUTZ",
"first_name": "ERIC",
"middle_name": "NATHAN",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "7820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.