Unknown Individual – Physical Therapist, NPI 1215983192
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Wayzata Boulevard, Blackstone, Saint Louis Park, Hennepin County, Minnesota, 55416, United States
SUITE 900
ST LOUIS PARK, MN 554261728
Phone: (952) 512-5600
Fax: (952) 512-5650
Type: Mailing
124th Avenue NW, Coon Rapids, Anoka County, Minnesota, 55433, United States
COON RAPIDS, MN 554331793
Phone: (763) 427-7300
Fax: (763) 427-2802
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55426)
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