Individual provider Active NPI

Philip Orenstein, PT

  • Physical Therapist
  • Minneapolis, MN
National Provider Identifier
1942405519
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2384 Issued in MN
Practice address
4388 France Ave S Ste 220
Minneapolis, MN 55410-1301
Phone
(612) 333-1133
Fax
(612) 333-0033
NPI assigned
Jun 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2024

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 2384 MN Primary

Addresses

Primary practice location

4388 France Ave S Ste 220
Minneapolis, MN 55410-1301

Mailing address

4999 France Ave S
Suite 235
Minneapolis, MN 55410-1703
Phone (612) 333-1133

Other identifiers 8

IdentifierTypeStateIssuer
58063OtherMNHP ID NO
6482096OtherMNMEDICA ID NO
1730178005OtherMNCORP NPI
411912266OtherMNTAX ID NO
29B68OROtherMNBCBS GROUP NO
411912266OtherMNTAX ID:
85641OtherMNPREONE ID NO
29B69OROtherMNBCBS ID#

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050908000907 MN Practitioner - Physical Therapist in Private Practice 7113959305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3825 Drew Ave S
Minneapolis, MN 55410-1047

4388 France Ave S
Minneapolis, MN 55410-1301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2384MNMDPhysical Therapist

Organizations & group practices 1

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": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1942405519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4999 FRANCE AVE S",
            "address_2": "SUITE 235",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101703",
            "telephone_number": "612-333-1133",
            "fax_number": "612-333-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4388 FRANCE AVE S STE 220",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101301",
            "telephone_number": "612-333-1133",
            "fax_number": "612-333-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORENSTEIN",
        "first_name": "PHILIP",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "2384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HP ID NO",
            "identifier": "58063",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA ID NO",
            "identifier": "6482096",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORP NPI",
            "identifier": "1730178005",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID NO",
            "identifier": "411912266",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NO",
            "identifier": "29B68OR",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID:",
            "identifier": "411912266",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREONE ID NO",
            "identifier": "85641",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID#",
            "identifier": "29B69OR",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.