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EMILY NICOLE PECK TUTTLE PT, DPT
NPI 1881254506
Physical Therapist - Pediatrics in Plymouth, MN

Active since June 14, 2019
15600 36TH AVE N STE 120, PLYMOUTH, MN 55446(763) 595-0812 Get Directions Write a Review

NPPES record last updated: December 16, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 16, 2022, Oct 11, 2022, Jun 14, 2019 (3 updates tracked since 2019).

About Emily Nicole Peck Tuttle Pt, Dpt NPPES

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

EMILY NICOLE PECK TUTTLE PT, DPT (NPI 1881254506) is an individual pediatrics provider in Plymouth, Minnesota, licensed in Minnesota (11549) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1881254506
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameEMILY NICOLE PECK TUTTLECredential: PT, DPT
Location Address15600 36TH AVE N STE 120Plymouth, MN 55446-3687
Mailing Address3120 Major Ave NMinneapolis, MN 55422-3139 · (320) 815-4219
Phone(763) 595-0812
Sole ProprietorNo
Enumeration DateJune 14, 2019
Last NPPES UpdateDecember 16, 20223 updates tracked since enumeration
NPPES CertifiedDecember 16, 2022
✔ NPI 1881254506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in MN · 11549
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
15600 36TH AVE N STE 120, Plymouth, MN 55446
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Nicole Peck Tuttle Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Emily Tuttle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Minnetonka Pediatric Therapy Center, LLC
Same address
Speech-Language Pathologist
15600 36TH AVE N STE 120
Plymouth, MN 55446
  • Reassigned Medicare billing, Minnesota enrollment
  • 8 clinicians in this Medicare group
NPI 1891998035 (763) 595-0812

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 14

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

MEGAN STUMPF
Speech-Language Pathologist
15600 36TH AVE N STE 120
PLYMOUTH, MN 55446
Hennepin County (763) 595-0812
LINDSAY RENEE BARRETT MA/CCC-SLP
Speech-Language Pathologist
15600 36TH AVE N STE 120
PLYMOUTH, MN 55446
Hennepin County (763) 595-0812
ELIZABETH ELAINE MCGLYNN
Speech-Language Pathologist
15600 36TH AVE N STE 120
PLYMOUTH, MN 55446
Hennepin County (763) 595-0812
SARAH JOY MOEN PT, DPT
Physical Therapist (Pediatrics)
15600 36TH AVE N STE 120
PLYMOUTH, MN 55446
Hennepin County (763) 595-0812
ELIZABETH ASTURIAS MS OTR/L
Occupational Therapist (Pediatrics)
15600 36TH AVE N STE 120
PLYMOUTH, MN 55446
Hennepin County (763) 595-0812
KAYE M BAUMGARDNER MS CCC-SLP, COM, CLC
Speech-Language Pathologist
15600 36TH AVE N STE 120
PLYMOUTH, MN 55446
Hennepin County (763) 595-0812
BRITTANY WINTER
Occupational Therapist
15600 36TH AVE N STE 120
PLYMOUTH, MN 55446
Hennepin County (763) 595-0812
KATHERINE ELIZABETH LAMB MS CCC-SLP
Speech-Language Pathologist
15600 36TH AVE N STE 120
PLYMOUTH, MN 55446
Hennepin County (635) 950-8127

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 Emily Tuttle's NPI number?

The NPI number for Emily Tuttle is 1881254506. It was assigned to this individual provider in the NPPES registry on June 14, 2019.

Where is Emily Tuttle located?

Emily Tuttle practices at 15600 36th Ave N Ste 120, Plymouth, MN 55446. The listed phone number is (763) 595-0812.

What is Emily Tuttle's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Is Emily Tuttle enrolled in Medicare?

Yes. Emily Tuttle is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Emily Tuttle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Tuttle reassigns Medicare benefits to Minnetonka Pediatric Therapy Center, LLC (Plymouth, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emily Tuttle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Emily Tuttle was last updated on December 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.