IMR OF MN., LLC (NPI# 1316940042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316940042 |
| Entity Type | Organization |
| Organization Name | IMR OF MN., LLC |
| Other Organization Name | INTEGRATED MEDICAL REHABILITATION OF MN., LLC |
| Practice Address |
14655 Galaxie Ave Ste 160 Apple Valley MN 55124-8575 |
| Mailing Address |
Po Box 390216 Edina MN 55439-0216 |
| Practice Telephone | 9524315353 |
| Enumeration Date | 2005-05-26 |
| Last Update Date | 2008-06-20 |
| Authorized Official Name | MR. DOUGLAS HANSON (PRESIDENT/CEO) |
| Authorized Official Telephone | 9529255687 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Integrated Medical Rehabilitation of MN., LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203674 | Imr of Mn., LLC | Clinic/Center | 1601 Highway 13 E, Ste 110, Burnsville, MN 55337-6877 | 2005-05-27 |
| 1598768228 | Imr of Mn., LLC | Clinic/Center | 5101 Vernon Ave S, Ste 301, Edina, MN 55436-2164 | 2005-05-26 |
| 1740283597 | Imr of Mn., LLC | Clinic/Center | 7250 France Ave S, Ste 111, Edina, MN 55435-4311 | 2005-05-24 |
| Street Address |
14655 GALAXIE AVE STE 160 |
| City | APPLE VALLEY |
| State | MN |
| Zip Code | 55124-8575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097976 | Allina Health System | Clinic/Center | 14655 Galaxie Ave, Apple Valley, MN 55124-8602 | 2020-09-14 |
| 1467087064 | Devon Simone Ellena | Nurse Practitioner | 14655 Galaxie Ave, Apple Valley, MN 55124-8602 | 2020-03-04 |
| 1437781333 | Nathaniel Vanloon | Physician Assistant | 14655 Galaxie Ave, Apple Valley, MN 55124-8602 | 2020-02-08 |
| 1790315273 | Sarah Barnes | Physician Assistant | 14655 Galaxie Ave, Apple Valley, MN 55124-8602 | 2020-01-23 |
| 1700427499 | Allina Health System | Emergency Medicine | 14655 Galaxie Ave, Apple Valley, MN 55124-8602 | 2019-10-03 |
| 1336620210 | Nicole Marie Lapage | Physician Assistant | 14655 Galaxie Ave, Apple Valley, MN 55124-8597 | 2018-08-28 |
| 1902390214 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 14655 Galaxie Ave, Apple Valley, MN 55124-8602 | 2018-06-20 |
| 1063922516 | Julie Anne Rezac | Physician Assistant | 14655 Galaxie Ave, Apple Valley, MN 55124-8602 | 2017-10-10 |
| 1528507886 | Tammy Denise Johnston | Nurse Practitioner | 14655 Galaxie Ave, Apple Valley, MN 55124-8575 | 2017-02-20 |
| 1487107975 | Rachel Hansohn | Physician Assistant | 14655 Galaxie Ave, Apple Valley, MN 55124-8575 | 2016-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574672 | Carol Susan Elstad | Counselor | Mn Mental Health Clinics, 15160 Foliage Ave Suite 140, Apple Valley, MN 55124 | 2020-09-23 |
| 1629612569 | Gadaa Care Transportation | Non-emergency Medical Transport (VAN) | 7296 157th St W, Apple Valley, MN 55124 | 2019-11-04 |
| 1356831515 | Dustin W Seabolt | Hearing Instrument Specialist | 15071 Dunwood Trl, Apple Valley, MN 55124 | 2018-05-14 |
| 1639687189 | Dentalign P.a. | Clinic/Center | 15875 Emperor Avenue, Apple Valley, MN 55124 | 2018-01-18 |
| 1982126926 | Apex Family Chiropractic LLC | Chiropractor | 15678 Pilot Knob Road, Suite 120, Apple Valley, MN 55124 | 2017-07-12 |
| 1821523028 | Robin Marie Parker | Nurse Practitioner | 14135 Cedar Avenue South, Suite 100, Apple Valley, MN 55124 | 2017-04-25 |
| 1134578826 | Ellen Denise Jacobson | Dentist | 14682 Pennock Avenue South, Apple Valley, MN 55124 | 2016-06-03 |
| 1831568708 | Clearriver Inc. | Home Health | 13790 Elkhart Rd, Apple Valley, MN 55124 | 2015-09-21 |
| 1265826879 | Next Level Fitness Co | Public Health or Welfare | 14645 Felton Ct, 104, Apple Valley, MN 55124 | 2015-03-20 |
| 1568872216 | Jon Butala | Marriage & Family Therapist | 4300 W 147th St., Suite 204, Apple Valley, MN 55124 | 2014-05-04 |
| Find all providers in zip 55124 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841678554 | Achieve Health and Wellness, LLC | Clinic/Center | 14819 Energy Way, Apple Valley, MN 55124-5757 | 2015-05-13 |
| 1902241177 | Avpt.inc | Clinic/Center | 18095 Us Highway 18 Ste C, Apple Valley, CA 92307-2189 | 2013-05-01 |
| 1558839209 | Axcend Physical Therapy, Inc. | Clinic/Center | 19015 Town Center Dr Ste 203, Apple Valley, CA 92308-8996 | 2018-11-09 |
| 1972010908 | Matthew P Danneker | Clinic/Center | 16049 Tuscola Rd Ste A, Apple Valley, CA 92307-0824 | 2017-12-29 |
| 1669668026 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 15290 Pennock Ln, Ste 120, Apple Valley, MN 55124-7163 | 2007-09-19 |
| 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 | APPLE VALLEY |
| Zip Code | 55124 |
Please comment or provide details below to improve the information on IMR OF MN., LLC.
| 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.