PT LOGIX, LLC (NPI# 1073968343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073968343 |
| Entity Type | Organization |
| Organization Name | PT LOGIX, LLC |
| Practice Address |
2 Carlson Pkwy N #125 Plymouth MN 55447-4466 |
| Mailing Address |
2 Carlson Pkwy, N. #125 Plymouth MN 55447 |
| Practice Telephone | 6126079680 |
| Mailing Telephone | 6126079680 |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-04-25 |
| Authorized Official Name | BRETT JOHNSTON (FOUNDER) |
| Authorized Official Telephone | 6126079680 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225500000X | Specialist/Technologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2 CARLSON PKWY N #125 |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55447-4466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033537782 | Erin Sellinger | Dermatology | 2 Carlson Pkwy N, Ste 240, Plymouth, MN 55447-4485 | 2014-03-31 |
| 1639605074 | United Skin Specialists Missouri Ltd, PC | Dermatology | 2 Carlson Pkwy N, Suite 240, Plymouth, MN 55447-4466 | 2017-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952916165 | Benjamin Thomas Garbow | Nurse Anesthetist, Certified Registered | 14700 28th Avenue North, Plymouth, MN 55447 | 2020-09-14 |
| 1588146914 | Alicia Mae Donahue | Social Worker | 15805 26th Ave N Unit D, Plymouth, MN 55447 | 2018-09-01 |
| 1497262224 | Rajo Care Home Inc | Assisted Living Facility | 14015 Rockford Rd, Plymouth, MN 55447 | 2018-01-02 |
| 1790145647 | Mary Kathleen Salveson | Occupational Therapist | Therapy Junction 14130 23rd Ave N, Plymouth, MN 55447 | 2016-03-03 |
| 1477954253 | Very Best PCa Services | Home Health | 14300 34th Ave N, #111, Plymouth, MN 55447 | 2014-09-11 |
| 1194133157 | Adam Schmitt | Dermatology | 2 Carlson Pkwy N Ste 240, Plymouth, MN 55447 | 2014-07-22 |
| 1336480946 | Arthur Andrew Hoffman | Chiropractor | 16815 22nd Ave North, Plymouth, MN 55447 | 2013-03-06 |
| 1598001067 | North Memorial Health Care | Clinic/Center | 15535 34th Avenue N., Plymouth, MN 55447 | 2013-01-02 |
| 1396097069 | Kristin Lynn Spencer | Nurse Practitioner | 3007 Harbor Lane North, Park Nicollet Clinic Plymouth - Family Medicine, Plymouth, MN 55447 | 2012-10-05 |
| 1689930554 | Linda Gail Olson | General Practice | 17935 24th Ave N, Minneapolis, MN 55447 | 2012-04-05 |
| Find all providers in zip 55447 | ||||
| Taxonomy Code | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295271054 | Theodore K. Trzynka | Specialist/Technologist | 1282 Concordia Ave, Saint Paul, MN 55104-5479 | 2017-01-17 |
| 1992136147 | Brian Fay | Specialist/Technologist | 1 Veterans Dr, Mc 117, Minneapolis, MN 55417-2309 | 2013-12-12 |
| 1871641951 | Terry Joe Carlyle | Specialist/Technologist | 903 S Oak Ave, Owatonna, MN 55060-3200 | 2007-01-08 |
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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.