PHENOM REHAB, INC (NPI# 1295184661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295184661 |
| Entity Type | Organization |
| Organization Name | PHENOM REHAB, INC |
| Practice Address |
109 5th St Ne Little Falls MN 56345-2732 |
| Mailing Address |
Po Box 737 Howard Lake MN 55349-0737 |
| Practice Telephone | 3206311104 |
| Practice Fax Number | 3206311105 |
| Mailing Telephone | 3205431104 |
| Mailing Fax Number | 3205431105 |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |
| Authorized Official Name | CRAIG L BUTTURFF (OWNER) |
| Authorized Official Telephone | 3205431104 |
| Authorized Official Credential | MSPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
MN | Ambulatory Health Care Facilities |
| Street Address |
109 5TH ST NE |
| City | LITTLE FALLS |
| State | MN |
| Zip Code | 56345-2732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164685913 | Derek Paul Johnson | Physical Therapist | 109 5th St Ne, Little Falls, MN 56345-2732 | 2008-07-02 |
| 1255827119 | Derek Koll | Physical Therapist | 109 5th St Ne, Little Falls, MN 56345-2732 | 2018-07-03 |
| 1972952356 | Preferred Chiropractic, Inc | Clinic/Center | 109 5th St Ne, Little Falls, MN 56345-2732 | 2016-06-07 |
| 1407211527 | Adam Oehrlein | Chiropractor | 109 5th St Ne, Little Falls, MN 56345 | 2015-12-16 |
| 1992104137 | Emily Appel | Physical Therapist | 109 5th St Ne, Little Falls, MN 56345-2732 | 2014-08-13 |
| 1184877870 | Kristy L Feia | Physical Therapist | 109 5th St Ne, Suite 1, Little Falls, MN 56345-2732 | 2008-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255823910 | Apple Tree Dental | Dentist | 808 3rd St Se Ste 330, Little Falls, MN 56345 | 2018-05-30 |
| 1326548454 | Julie Bonham | Dental Therapist | 803 3rd St. Se, Suite 330, Little Falls, MN 56345 | 2018-02-15 |
| 1386079846 | Paul Carpenter | Physical Therapist | 104 2nd St Se, Little Falls, MN 56345 | 2013-09-03 |
| 1114282670 | Annalee Michelle Vandenheuvel | Social Worker | 1905 5th Ave Se, Little Falls, MN 56345 | 2012-07-11 |
| 1962761601 | Heather Van Stone | Audiologist | 109 5th St Ne Ste 2, Little Falls, MN 56345 | 2012-05-15 |
| 1003055989 | Brett Wayne Speer | Chiropractor | 114 1st Street Ne, Little Falls, MN 56345 | 2009-02-17 |
| 1104007988 | Sharon Anne Bell | Physical Therapist | 309 First St. Ne, Suite 101, Little Falls, MN 56345 | 2007-11-20 |
| 1215072996 | Robert Willhite | Pharmacist | 101 1st St Ne, Little Falls, MN 56345 | 2007-02-21 |
| 1568526275 | Jeffrey Hoffman | Physical Therapist | 815 Se 2nd Street, Unity Family Healthcare, Little Falls, MN 56345 | 2006-12-20 |
| 1700978020 | Jennifer Mary Hagen | Pharmacist | 101 1st St Se, Little Falls, MN 56345 | 2006-09-28 |
| Find all providers in zip 56345 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003247073 | Parabolic Performance & Rehabilitation Little Falls LLC | Clinic/Center | 28 Clove Rd, Floyd Hall Arena, Little Falls, NJ 07424 | 2013-12-02 |
| 1255613709 | Paragon Physical Therapy, LLC | Clinic/Center | 101 Newark Pompton Tpke, Suite 1, Little Falls, NJ 07424-1167 | 2011-09-11 |
| 1376043901 | Aim Orthopedics LLC | Clinic/Center | 44 Main St Ste 4, Little Falls, NJ 07424-1571 | 2018-02-20 |
| 1215266408 | Advance Physical Therapy Inc. | Clinic/Center | 309 1st St Ne, Suite 101, Little Falls, MN 56345-4635 | 2009-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716669 | C.o.m.p.e.t.e Physical Therapy & Wellness LLC | Clinic/Center | 1517 Johnson Dr, Moorhead, MN 56560-7441 | 2020-09-27 |
| 1043846173 | Persistence Physical Therapy LLC | Clinic/Center | 2009 W Broadway Ave, Ste 400 Pmb 131, Forest Lake, MN 55025 | 2020-03-20 |
| 1700419207 | Emily L Parnell | Clinic/Center | 983 James Ave, Saint Paul, MN 55102-3330 | 2020-02-13 |
| 1447898358 | Joy Physical Therapy Inc. | Clinic/Center | 1648 River Bluff Ct, Eagan, MN 55121-1719 | 2019-12-11 |
| 1578125159 | Evolve Rehab & Performance LLC | Clinic/Center | 4346 Wooddale Ave, St Louis Park, MN 55424-1061 | 2019-07-03 |
| 1093375198 | Taylor Doeden | Clinic/Center | 1929 33rd St S, Moorhead, MN 56560-3951 | 2019-06-19 |
| 1083176101 | Transcend Rehab & Wellness LLC | Clinic/Center | 1227 17th St Sw, Willmar, MN 56201-2843 | 2019-04-05 |
| 1891250635 | Physiyo, LLC | Clinic/Center | 8646 Eagle Creek Cir Suite 109, Savage, MN 55378-1572 | 2019-02-06 |
| 1922562883 | Kinecio | Clinic/Center | 7650 Currell Blvd Ste 325, Woodbury, MN 55125-2257 | 2019-01-24 |
| 1366916363 | She Pt LLC | Clinic/Center | 5410 Abbott Pl, Edina, MN 55410-2320 | 2019-01-14 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE FALLS |
| Zip Code | 56345 |
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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.