Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Kelly J Soukup, PT

Physical Therapist in Burnsville, MN · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1669419610

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Registry record

Entity type Individual (Type 1)

Name Mr. Kelly J Soukup

Credential PT

Sex Male

Practice address 1000 W 140th St, Suite 202, Burnsville, MN, 55337

Phone (952) 808-3052

Fax (952) 846-2202

Enumeration date May 31, 2006

Last updated in NPPES Apr 20, 2011

Taxonomy & licenses

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 7269 (MN) Primary

PT · Physical Therapist: A licensed movement specialist treating injury and disability through exercise and rehabilitation. About the PT credential

Other identifiers

Identifier	Type	State	Issuer
210K0SO	Other	MN	BLUECROSS BLUESHEILD
011698000	Medicaid	MN	-
6404216	Other	MN	MEDICA
HP39430	Other	MN	HEALTHPARTNERS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Kelly Soukup's NPI record?

Cross-check NPI 1669419610 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1669419610 active?

Yes, as of the latest NPPES snapshot, NPI 1669419610 is active (record last updated 2011-04-20).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-04-20.