Active NPI
Susan E Walts, PT
- Physical Therapist
- Plymouth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7419
- Practice address
- 14100 Carlson Pkwy Ste 200
Plymouth, MN 55441-5312 - Phone
- (763) 519-7900
- Fax
- (763) 450-0202
- NPI assigned
- Mar 2, 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 | 7419 | MN | Primary |
Addresses
Primary practice location
14100 Carlson Pkwy Ste 200
Plymouth, MN 55441-5312
Mailing address
1939 Minnehaha Ave W Ste 300
Saint Paul, MN 55104-1033
Phone (651) 748-4338
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)
14100 Carlson Pkwy
Suite 200
Plymouth, MN 55441-5312
Phone (763) 519-7900
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.63 of 100
- Quality
- 75.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6575 | GA | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Therapy Partners Inc | Physical Therapist | Current | Accepting new patients |
| Therapy Partners, Inc. | Physical Therapist | Current | Accepting new patients |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Atlanta Rehabilitation and Performance Center | Past | Accepting new patients | |
| Atlanta Rehabilitation and Performance Center | Past | Accepting new patients |
Locations
15650 Cedar Ave
Ste 160
Apple Valley, MN 55124
Phone (952) 997-4170
14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400
701 25th Ave S
Ste 500
Minneapolis, MN 55454
Phone (612) 313-8831
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
14100 Carlson Pkwy
Ste 200
Plymouth, MN 55441
Phone (763) 519-7900
1939 Minnehaha Ave W
Ste 300
Saint Paul, MN 55104
1700 Tower Dr W
Stillwater, MN 55082
Phone (651) 275-4706
Organizations & group practices 10
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.
-
- Multi-Specialty Clinic/Center
- Saint Paul, MN
- NPI 1407809494
Physical Therapist
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- General Practice Physician
- Saint Paul, MN
- NPI 1346722675
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
-
- Physical Therapist
- Forest Lake, MN
- NPI 1821179607
-
- Physical Therapy Clinic/Center
- Lawrenceville, GA
- NPI 1013789205
-
- Physical Therapy Clinic/Center
- Cleveland, GA
- NPI 1982797494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1962479501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1939 MINNEHAHA AVE W STE 300",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551041033",
"telephone_number": "651-748-4338",
"fax_number": "651-748-2892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14100 CARLSON PKWY STE 200",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554415312",
"telephone_number": "763-519-7900",
"fax_number": "763-450-0202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTS",
"first_name": "SUSAN",
"middle_name": "E",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-02",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "7419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.