SPINE & SPORTS INSTITUTE (NPI# 1316143936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316143936 |
| Entity Type | Organization |
| Organization Name | SPINE & SPORTS INSTITUTE |
| Practice Address |
9325 Upland Lane N Suite 230 Maple Grove MN 55369-4450 |
| Practice Telephone | 7633150466 |
| Practice Fax Number | 7633150884 |
| Mailing Telephone | 7633150466 |
| Mailing Fax Number | 7633150884 |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOSHUA JAMES SANDELL (PRESIDENT) |
| Authorized Official Telephone | 7633150466 |
| 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 |
4196 | MN | Chiropractic Providers |
| Street Address |
9325 UPLAND LANE N SUITE 230 |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369-4450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881690097 | Minnesota Neonatal Physicians | Pediatrics | 9325 Upland Lane N, Suite 360, Maple Grove, MN 55369 | 2005-06-22 |
| 1548434772 | Anastasia K Ketko | Pediatrics | 9325 Upland Lane N, Suite 360, Maple Grove, MN 55369 | 2008-04-18 |
| 1093932709 | Aaron Wendell Swenson | Pediatrics | 9325 Upland Lane N, Suite 360, Maple Grove, MN 55369 | 2007-04-20 |
| 1891888186 | Jane Elizabeth Barthell | Pediatrics | 9325 Upland Lane N, Suite 360, Maple Grove, MN 55369 | 2006-10-01 |
| 1720092398 | Nina Rachel Perdue | Pediatrics | 9325 Upland Lane N, Suite 360, Maple Grove, MN 55369 | 2006-07-28 |
| 1417961319 | Bonnie Gail Landrum | Pediatrics | 9325 Upland Lane N, Suite 360, Maple Grove, MN 55369 | 2006-07-28 |
| 1861430605 | Thomas B Ferrara | Pediatrics | 9325 Upland Lane N, Suite 360, Maple Grove, MN 55369 | 2006-06-03 |
| 1144274176 | Jeanne D Mrozek | Pediatrics | 9325 Upland Lane N, Suite 360, Maple Grove, MN 55369 | 2006-05-22 |
| 1578515300 | Neil P Mulrooney | Pediatrics | 9325 Upland Lane N, Suite 360, Maple Grove, MN 55369 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| Find all providers in zip 55369 | ||||
| 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 |
|---|---|---|---|---|
| 1265738421 | Don Lee Jewell | Chiropractor | 11222 86th Ave N, Maple Grove, MN 55369-4510 | 2011-02-07 |
| 1013355478 | Waypoint Minnesota Sports PC | Chiropractor | 9325 Upland Ln N, Suite 230, Maple Grove, MN 55369-4200 | 2013-06-07 |
| 1992940431 | David Randolph Holmes | Chiropractor | 9325 Upland Ln N Ste 230, Maple Grove, MN 55369-4450 | 2008-12-12 |
| 1730363607 | Spine and Sports Insitute, LLC | Chiropractor | 9325 Upland Ln N, Suite 230, Maple Grove, MN 55369-4200 | 2007-12-27 |
| 1164620613 | Johnson Chiropractic Clinic of Maple Grove, Inc | Chiropractor | 13700 83rd Way N Ste 200, Maple Grove, MN 55369-7015 | 2007-07-06 |
| 1912050220 | Josh James Sandell | Chiropractor | 7372 Kirkwood Ct, Maple Grove, MN 55369-5202 | 2007-01-19 |
| 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 |
| 1063857621 | Minnesota Spine & Sports Rehab | Chiropractor | 29 S Walnut St Ste 200, La Crescent, MN 55947-1605 | 2013-05-08 |
| 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 |
| 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 | MAPLE GROVE |
| Zip Code | 55369 |
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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.