Active NPI
Donald M Carlson, PT
- Physical Therapist
- Grand Rapids, MN
National Provider Identifier
1902875040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 589
- Practice address
- 111 Golf Course Rd
Grand Rapids, MN 55744-3526 - Phone
- (218) 327-7257
- Fax
- (218) 327-1585
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- 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 | 589 | MN | Primary |
Addresses
Primary practice location
111 Golf Course Rd
Grand Rapids, MN 55744-3526
Mailing address
7933 Co 65 NE
Deer River, MN 56636
Phone (218) 566-2288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 589 | Other | MN | MN BD OF PT |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1902875040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7933 CO 65 NE",
"city": "DEER RIVER",
"state": "MN",
"postal_code": "56636",
"telephone_number": "218-566-2288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 GOLF COURSE RD",
"city": "GRAND RAPIDS",
"state": "MN",
"postal_code": "557443526",
"telephone_number": "218-327-7257",
"fax_number": "218-327-1585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "DONALD",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "589",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN BD OF PT",
"identifier": "589",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.