BRYAN DORN (NPI# 1376701250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376701250 |
Entity Type | Individual |
Full Name | BRYAN DORN |
Credential | DPT |
Practice Address |
23505 Smithtown Rd Ste 100 Excelsior MN 55331-4542 |
Practice Telephone | 9524708555 |
Practice Fax Number | 9524018785 |
Mailing Telephone | 9524708555 |
Mailing Fax Number | 9524018785 |
Enumeration Date | 2008-05-28 |
Last Update Date | 2009-10-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251S0007X |
Physical Therapist Specialization: Sports |
5623 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
5623 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
23505 SMITHTOWN RD STE 100 |
City | EXCELSIOR |
State | MN |
Zip Code | 55331-4542 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033293428 | Jill Kaskinen | Physical Therapist | 23505 Smithtown Rd Ste 100, Excelsior, MN 55331-4542 | 2006-10-24 |
1659972057 | Kerry Jean Taylor | Massage Therapist | 23505 Smithtown Rd Ste 100, Excelsior, MN 55331-4542 | 2020-11-03 |
1891353074 | Alex P Twenge | Chiropractor | 23505 Smithtown Rd Ste 100, Excelsior, MN 55331-4542 | 2019-06-03 |
1912406711 | Anthony Paul Puckett | Chiropractor | 23505 Smithtown Rd Ste 100, Excelsior, MN 55331-4542 | 2018-02-07 |
1730693326 | Melissa Ann Lewis | Massage Therapist | 23505 Smithtown Rd Ste 100, Excelsior, MN 55331-4542 | 2017-11-20 |
1356728265 | Kristine Kilian | Massage Therapist | 23505 Smithtown Rd Ste 100, Excelsior, MN 55331-4542 | 2015-04-29 |
1891102943 | Daniel Brandon | Physical Therapist | 23505 Smithtown Rd Ste 100, Excelsior, MN 55331 | 2014-07-21 |
1225379753 | Jamie Lynn Neisen | Massage Therapist | 23505 Smithtown Rd Ste 100, Excelsior, MN 55331-4542 | 2013-03-07 |
1063694842 | William Joseph Grigg | Chiropractor | 23505 Smithtown Rd Ste 100, Excelsior, MN 55331-4542 | 2007-12-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609432798 | Christina Mccullough Dds Pllc | Dentist | 2455 Shadywood Road, Orono, MN 55331 | 2019-05-14 |
1558854042 | Melissa Ann Morency | Massage Therapist | 23505 County Road 19, Excelsior, MN 55331 | 2018-06-11 |
1801388475 | Susanne B Kanter | Physical Therapist | 23490 Mn-7, Shorewood, MN 55331 | 2018-05-30 |
1518367440 | Danielle Marie O'connell | Chiropractor | Knewtson Health Group, 23505 Smithtown Rd Suite 100, Excelsior, MN 55331 | 2014-08-28 |
1467893511 | Allison Scott | Pharmacist | 23800 Mn Hwy 7, Shorewood, MN 55331 | 2013-07-17 |
1417204751 | Minnetonka Psychology and Wellness | Marriage & Family Therapist | 19765 Highway 7, Suite 203, Shorewood, MN 55331 | 2012-08-06 |
1952623456 | Virginia Lee Sievers Green | Occupational Therapist | 464 2nd Street, Suite 105, Excelsior, MN 55331 | 2010-02-24 |
1497980163 | Harmonia Health Care | Home Health | 3121 Pillsbury Ave S, Minneapolis, MN 55331 | 2009-05-24 |
1831352731 | Kelli J O'shea | Occupational Therapist | 19685 Hwy 7, Shorewood, MN 55331 | 2008-07-10 |
1922295658 | Nueva Era Healthcare Services, Inc. | Home Health | 5667 Wood Duck Circle, Shorewood, MN 55331 | 2007-09-26 |
Find all providers in zip 55331 |
Taxonomy Code | 2251S0007X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Sports |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952719296 | Jessica Pawlik | Physical Therapist | 3650 Plymouth Blvd Ste 100, Plymouth, MN 55446-3201 | 2014-07-31 |
1427499631 | Jonathan D Conway | Physical Therapist | 775 Prairie Center Dr Ste 250, Eden Prairie, MN 55344-7334 | 2013-07-16 |
1144492083 | Twin Cities Spine & Sports, Pllc | Physical Therapist | 6409 City West Pkwy, Suite 100, Eden Prairie, MN 55344-7845 | 2008-04-01 |
1306949359 | Nathan Stier | Physical Therapist | 7872 Century Blvd, Chanhassen, MN 55317 | 2006-09-06 |
1508969551 | Rusty Wallman | Physical Therapist | 7872 Century Boulevard, Chanhassen, MN 55317 | 2006-09-06 |
1245279306 | Peter S. Ames | Physical Therapist | 775 Prairie Center Dr, Suite 250, Eden Prairie, MN 55344-7314 | 2006-06-05 |
1912475450 | Jennifer Arnold | Physical Therapist | 410 Church St Se, Minneapolis, MN 55455-0222 | 2018-11-02 |
1942787049 | Taylor Jon Mcwilliams | Physical Therapist | 800 Prairie Center Dr Ste 230, Eden Prairie, MN 55344-7308 | 2018-07-23 |
1912322835 | Rebecca A Jorgenson | Physical Therapist | 11995 Singletree Ln, Suite 120, Eden Prairie, MN 55344-5347 | 2014-02-28 |
1740591700 | Travis Collin Gunderson | Physical Therapist | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2010-06-24 |
Find all providers with the same taxonomy |
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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.