Doctor profile · Federal record
Dr. Kelly Soukup, PT
Physical Therapist (CMS: Physical Therapist in Private Practice) · Burnsville, MN
- NPI 1669419610
- Accepts Medicare
- 28 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1000 W 140Th St, Suite 202
Burnsville, MN 553374480
(952) 808-3052
fax (952) 846-2202 - Mailing address
-
19052 Inman Trl
Lakeville, MN 550444701
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- April 20, 2011
- Year of graduation
- 1998 — 28 yrs since
- Specialty taxonomy
- 225100000X — NUCC code
- State license (1)
- Minnesota #7269
- Medicaid
- MN #011698000
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1669419610. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
615
Distinct HCPCS
4
Medicare allowed
$18,829
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 288 | 51 | $21 | |
97112 |
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 241 | 49 | $28 | |
97162 |
Evaluation for physical therapy, typically 30 minutes | 55 | 54 | $94 | |
97530 |
Therapy procedure using functional activities | 31 | 24 | $29 |
In context: peer comparison
Among 26 peers in Burnsville Physical Therapist, average services per provider: 150. This provider delivers 4.1× the peer median.Frequently asked questions
What is Dr. Kelly Soukup's medical specialty?
Dr. Kelly Soukup practices Physical Therapist in Burnsville, MN.
Where does Dr. Kelly Soukup practice?
Dr. Kelly Soukup practices at 1000 W 140Th St, Burnsville, MN 553374480. Office phone: 9528083052.
What is Dr. Kelly Soukup's NPI?
Dr. Kelly Soukup's National Provider Identifier (NPI) is 1669419610, issued by NPPES.
Does Dr. Kelly Soukup accept Medicare assignment?
Yes. Dr. Kelly Soukup accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kelly Soukup commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Therapy procedure to re-educate brain-to-nerve-to-muscle function (HCPCS 97112); Evaluation for physical therapy, typically 30 minutes (HCPCS 97162). Source: CMS Medicare Physician & Other Practitioners file.