MINNESOTA SPINE & SPORTS REHAB (NPI# 1063857621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063857621 |
| Entity Type | Organization |
| Organization Name | MINNESOTA SPINE & SPORTS REHAB |
| Practice Address |
29 S Walnut St Ste 200 La Crescent MN 55947-1605 |
| Practice Telephone | 5078952940 |
| Mailing Telephone | 5078952940 |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-05-08 |
| Authorized Official Name | DR. BRADLEY VERNON NORTHRUP (OWNER/OPERATOR) |
| Authorized Official Telephone | 5078952940 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
5324 | MN | Chiropractic Providers |
| Street Address |
29 S WALNUT ST STE 200 |
| City | LA CRESCENT |
| State | MN |
| Zip Code | 55947-1605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126235 | Kevin James Hosch | Chiropractor | 120 Midnite St, La Crescent, MN 55947 | 2020-02-13 |
| 1225535396 | Springbrook Village of La Crescent LLC | Assisted Living Facility | 1384 County Road 25, La Crescent, MN 55947 | 2018-04-06 |
| 1548277296 | Christopher David Wood | Chiropractor | 205 N Chestnut St, Suite 108, La Crescent, MN 55947 | 2006-08-02 |
| 1386843704 | Traveling Angel PC | Home Health | 6632 State 26, La Crescent, MN 55947-0163 | 2007-07-16 |
| 1629307178 | Tamara June Benson | Registered Nurse | 322 N 1st St, La Crescent, MN 55947-1105 | 2009-12-11 |
| 1669441556 | Carrie L Gerhard | Family Medicine | 226 N 2nd St, La Crescent, MN 55947-1111 | 2006-03-14 |
| 1790297737 | Jennifer Gretchen Mchugh | Social Worker | 226 N 2nd St, La Crescent, MN 55947-1111 | 2017-10-31 |
| 1982992202 | Rebecca M Meinertz | Nurse Practitioner | 226 N 2nd St, La Crescent, MN 55947-1111 | 2011-07-20 |
| 1811150048 | Duane K Undeland | Internal Medicine | 226 N 2nd St, La Crescent, MN 55947-1111 | 2008-07-08 |
| 1447325170 | Lisa J Nutter | Nurse Practitioner | 226 N 2nd St, La Crescent, MN 55947-1111 | 2006-11-21 |
| Find all providers in zip 55947 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902293202 | Twin Cities Spine & Sports, LLC | Chiropractor | 4510 W 77th St, Suite 222, Edina, MN 55435-5505 | 2015-04-24 |
| 1831587930 | Ibackcheck Chiropractic | Chiropractor | 3650 Plymouth Blvd, Suite 100, Plymouth, MN 55446-3201 | 2014-12-26 |
| 1790181915 | Advanced Wellness & Sports Rehab Pa | Chiropractor | 11132 Commerce Ln N, Champlin, MN 55316-3112 | 2014-11-16 |
| 1508128232 | New Creation Sports and Wellness, LLC | Chiropractor | 7500 Hudson Blvd N Ste 180, Oakdale, MN 55128-7064 | 2012-06-08 |
| 1659659159 | Bradley Owen Olson | Chiropractor | 1312 Delaware St Nw, Hutchinson, MN 55350-3301 | 2011-08-01 |
| 1265738421 | Don Lee Jewell | Chiropractor | 11222 86th Ave N, Maple Grove, MN 55369-4510 | 2011-02-07 |
| 1790089654 | Kaitlin Renee Battaglia | Chiropractor | 5250 W 74th St Ste 8, Edina, MN 55439-2229 | 2011-01-06 |
| 1881902591 | Dr. Kim Leis-keeling, LLC | Chiropractor | 2121 Cliff Dr Ste 101, Eagan, MN 55122-3407 | 2010-09-15 |
| 1740430651 | Sarah Mae Peters | Chiropractor | 6982 Alpine Trl, Eden Prairie, MN 55346-3739 | 2008-09-27 |
| 1538334776 | Brian D Gervais | Chiropractor | 6104 Olson Memorial Hwy, Suite 100, Golden Valley, MN 55422-4919 | 2008-04-29 |
| Find all providers with the same taxonomy | ||||
| City | LA CRESCENT |
| Zip Code | 55947 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.