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ELDON SODERBERG PT
NPI 1104927169
Physical Therapist - Orthopedic in Golden Valley, MN

Active since September 25, 2006
2040 DOUGLAS DR N, SUITE 203, GOLDEN VALLEY, MN 55422(763) 925-9566(763) 544-2180 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eldon Soderberg Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELDON SODERBERG PT (NPI 1104927169) is an individual orthopedic provider in Golden Valley, Minnesota, licensed in Minnesota (1821) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1104927169
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameELDON SODERBERGCredential: PT
Location Address2040 DOUGLAS DR N, SUITE 203Golden Valley, MN 55422-3944
Mailing Address2040 Douglas Dr N, Suite 203Golden Valley, MN 55422-3944 · (763) 925-9566 · Fax (763) 544-2180
Phone(763) 925-9566
Fax(763) 544-2180
Sole ProprietorNo
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1104927169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in MN · 1821
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
2040 DOUGLAS DR N, Golden Valley, MN 55422
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Other Identifiers 6

Medicaid370085200MN
Medicaid173205MN
Other6401945MN · Medica
Other035J9SOMN · Mn Bcbs
Medicare ID-Type Unspecified650000665MN · Mn Medicare
Other123593400MN · Us Dept Of Labor

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SODERBERG PHYSICAL THERAPY LLC
Physical Therapist (Orthopedic)
2040 DOUGLAS DR N, SUITE 203
GOLDEN VALLEY, MN 55422
Hennepin County (763) 525-9566
SANDRA SODERBERG PT
Physical Therapist (Orthopedic)
2040 DOUGLAS DR N, SUITE 203
GOLDEN VALLEY, MN 55422
Hennepin County (763) 525-9566
DR. PAUL E HERRMANN DDS
Dentist (General Practice)
2040 DOUGLAS DR N
GOLDEN VALLEY, MN 55422
Hennepin County (763) 544-1629
OPEN INSIGHT THERAPY, LLC
Social Worker (Clinical)
2040 DOUGLAS DR N, SUITE 100
GOLDEN VALLEY, MN 55422
Hennepin County (612) 567-2909

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eldon Soderberg's NPI number?

The NPI number for Eldon Soderberg is 1104927169. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Eldon Soderberg located?

Eldon Soderberg practices at 2040 Douglas Dr N Suite 203, Golden Valley, MN 55422. The listed phone number is (763) 925-9566.

What is Eldon Soderberg's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Eldon Soderberg was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.