Tyler Cogswell
Individual provider Active NPI Physical Therapist · Vadnais Heights, MN
NPI 1881296499 · NPPES record last updated Apr 27, 2023
Key facts
- NPI
- 1881296499
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11809 (MN)
- Practice address
- 3580 Arcade St
Vadnais Heights, MN 55127-7135 - Phone
- (651) 968-5201
- Fax
- (651) 968-5903
- NPI assigned
- Nov 10, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Summit Orthopedics, LTD
Practice addresses (Care Compare)
3580 Arcade St
Vadnais Heights, MN 55127-7135
Phone (651) 968-5201
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230517002033 | MN | Practitioner - Physical Therapist in Private Practice | 6305202391 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Orthopedics, LTD. | Current |
Accepting new patients | |
| Summit Orthopedics, LTD | Orthopedic | Current | Accepting new patients |
| Summit Orthopedics LTD | Current |
Accepting new patients | |
| Physical Therapy Consultants, Inc. | Past |
Accepting new patients |
Locations
1661 Saint Anthony Ave
Saint Paul, MN 55104
Phone (651) 968-5300
3580 Arcade St
Vadnais Heights, MN 55127
Phone (651) 968-5600
710 Commerce Dr
Ste 200
Woodbury, MN 55125
Phone (651) 968-5042
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11809 | MN | Yes |
Addresses
Primary practice location
3580 Arcade St
Vadnais Heights, MN 55127-7135
Mailing address
710 Commerce Dr Ste 200
Woodbury, MN 55125-4925
Phone (651) 968-5201
Other providers in Vadnais Heights, MN
- Mary Beth Charland
- Children'S Health Care
- Catherine Y Choi
- Scott Joseph Cichos
- Cognitive Ventures Vadnais Heights LLC
- Margaret A Collins
- Bethany Ann Cook Grothe
- Patricia J Cort
- Christine Crep
- Daniel Michael Cuppy
All providers in Vadnais Heights, MN · Physical Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.