Active NPI
Tiffany E Rodman, PT
- Physical Therapist
- Burnsville, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6480
- Practice address
- 675 E Nicollet Blvd
#135
Burnsville, MN 55337-6700 - Phone
- (952) 892-2650
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 6480 | MN | Primary |
Addresses
Primary practice location
675 E Nicollet Blvd
#135
Burnsville, MN 55337-6700
Mailing address
3940 Stonebridge Dr N
Eagan, MN 55123-1640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3111 124TH Ave NW
Suite 200
Coon Rapids, MN 55433-4573
Phone (763) 427-7300
3365 Central Park Village Dr
Suite 100
Eagan, MN 55121-7707
Phone (877) 609-0123
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.79 of 100
- Quality
- 95.08
- Improvement activities
- 40
- Cost
- 81.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6480 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Health Collaborative, PA | Current | Accepting new patients | |
| Active Therapy MN | Physical Therapist | Current | Accepting new patients |
| Infinite Health Collaborative, PA | Physical Therapist | Current | Accepting new patients |
Locations
6633 N Lincoln Ave
Lincolnwood, IL 60712
Phone (773) 399-9570
15650 Cedar Ave
Ste 160
Apple Valley, MN 55124
Phone (952) 997-4170
201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000
80 S 8th St
Minneapolis, MN 55402
920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155
Organizations & group practices 3
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.
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Physical Therapist
-
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- Eden Prairie, MN
- NPI 1730835257
-
- Durable Medical Equipment & Medical Supplies
- Hudson, WI
- NPI 1568840916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891702080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3940 STONEBRIDGE DR N",
"city": "EAGAN",
"state": "MN",
"postal_code": "551231640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 E NICOLLET BLVD",
"address_2": "#135",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553376700",
"telephone_number": "952-892-2650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODMAN",
"first_name": "TIFFANY",
"middle_name": "E",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "6480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burnsville, 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.
- 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.