Healthcare Provider Details

I. General information

NPI: 1114659711
Provider Name (Legal Business Name): CAROLINE C SINGERHOUSE DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAROLINE C MORAN DPT

II. Dates (important events)

Enumeration Date: 06/30/2022
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 MENDOTA RD E
W ST PAUL MN
55118-5104
US

IV. Provider business mailing address

3500 AMERICAN BLVD W STE 300
BLOOMINGTON MN
55431-4442
US

V. Phone/Fax

Practice location:
  • Phone: 651-275-4706
  • Fax: 651-770-1180
Mailing address:
  • Phone: 952-512-5600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number16151
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number12622
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: