MR. KELLY J SOUKUP PT
NPI 1669419610
Physical Therapist in Burnsville, MN

Active since May 31, 2006Accepts Medicare Assignment
1000 W 140TH ST, SUITE 202, BURNSVILLE, MN 55337(952) 808-3052(952) 846-2202 Get Directions Write a Review

NPPES record last updated: April 20, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kelly J Soukup Pt NPPES

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

MR. KELLY J SOUKUP PT (NPI 1669419610) is an individual physical therapist in Burnsville, Minnesota, licensed in Minnesota (7269) and active in the NPI registry since May 2006. He is a graduate of Other (1998).

NPPES Registry Identity

NPI1669419610
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. KELLY J SOUKUPCredential: PT
Location Address1000 W 140TH ST, SUITE 202Burnsville, MN 55337-4480
Mailing Address19052 Inman TrlLakeville, MN 55044-4701 · (952) 469-6925
Fax(952) 846-2202
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMay 31, 2006
Last NPPES UpdateApril 20, 2011
NPI 1669419610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in MN · 7269
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1000 W 140TH ST, Burnsville, MN 55337

Other Identifiers 5

OtherHP39430MN · Healthpartners
Other6404216MN · Medica
Medicare ID-Type Unspecified650001052MN · Part B
Medicaid011698000MN
Other210K0SOMN · Bluecross Bluesheild

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Kelly J Soukup Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618158155
PECOS Enrollment IDI20110216001081

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
281 services64 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
246 services51 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
90 services42 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
56 services53 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55337 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Orthopaedic Surgery (Sports Medicine)
1000 W 140TH ST, SUITE 201
BURNSVILLE, MN 55337
Licensed Practical Nurse
1000 W 140TH ST, SUITE 201
BURNSVILLE, MN 55337
Physician Assistant
1000 W 140TH ST, SUITE 201
BURNSVILLE, MN 55337
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1000 W 140TH ST, SUITE 201
BURNSVILLE, MN 55337
Physician Assistant
1000 W 140TH ST, SUITE 201
BURNSVILLE, MN 55337
Physician Assistant
1000 W 140TH ST, SUITE 201
BURNSVILLE, MN 55337
Physical Therapist (Sports)
1000 W 140TH ST, SUITE 201
BURNSVILLE, MN 55337
Physical Therapist
1000 W 140TH ST, SUITE 201
BURNSVILLE, MN 55337

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 Kelly Soukup's NPI number?

The NPI number for Kelly Soukup is 1669419610. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Kelly Soukup located?

Kelly Soukup practices at 1000 W 140th St Suite 202, Burnsville, MN 55337. The listed phone number is (952) 808-3052.

What is Kelly Soukup's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Kelly Soukup enrolled in Medicare?

Yes. Kelly Soukup is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Soukup accept?

Health plans from Medica list Kelly Soukup as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Soukup was last updated on April 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.