BRIAN EDMONSON (NPI# 1578850046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578850046 |
| Entity Type | Individual |
| Full Name | BRIAN EDMONSON |
| Practice Address |
3800 American Blvd W Ste 200 Bloomington MN 55431-4420 |
| Practice Telephone | 9528318742 |
| Practice Fax Number | 9528311626 |
| Mailing Telephone | 9528318742 |
| Mailing Fax Number | 9528311626 |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2013-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 9381 | AZ | Other Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
8711 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3800 AMERICAN BLVD W STE 200 |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55431-4420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023130416 | Sandra Marie Meyer | Occupational Therapist | 3800 American Blvd W, The Hartford, Bloomington, MN 55431-4420 | 2007-04-04 |
| 1164889135 | Aspen Language Services | Community/Behavioral Health | 3800 American Blvd W, Suite 1500, Bloomington, MN 55431-4420 | 2016-01-21 |
| 1093181620 | Steven Babcock | Physical Therapist | 3800 American Blvd W, Bloomington, MN 55431-4420 | 2015-08-18 |
| 1528444338 | Hilary Lynn Dolan | Physical Therapist | 3800 American Blvd W, Bloomington, MN 55431-4420 | 2015-08-04 |
| 1861879868 | Jonathon Diercks | Specialist/Technologist | 3800 American Blvd W, Suite 2, Bloomington, MN 55431-4420 | 2015-04-29 |
| 1629464375 | Amanda Levalley | Specialist/Technologist | 3800 American Blvd W, Bloomington, MN 55431-4420 | 2015-04-09 |
| 1558757161 | Lisa Jean Piropato | Physical Therapist | 3800 American Blvd W, Bloomington, MN 55431-4420 | 2015-04-09 |
| 1023417292 | Abigail Stignani | Physical Therapist | 3800 American Blvd W, Bloomington, MN 55431-4420 | 2014-08-13 |
| 1669819280 | Recover Health Resources LLC | Clinic/Center | 3800 American Blvd W, Suite 1500, Bloomington, MN 55431-4420 | 2013-05-23 |
| 1235574682 | Jason Goldfarb | Physical Therapist | 3800 American Blvd W, Bloomington, MN 55431-4420 | 2013-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
| 1760042253 | Adams Health Care Services, LLC | Registered Nurse | 10036 Washburn Ave S, Bloomington, MN 55431 | 2019-06-17 |
| 1851864755 | Hope Autism Center | Day Training, Developmentally Disabled Services | 9333 Penn Ave S, Bloomington, MN 55431 | 2019-01-03 |
| 1275006215 | Cameron Lee Small | Counselor | 9156 Vincent Ave S, Bloomington, MN 55431 | 2019-01-02 |
| 1497240469 | Mikayla Slegh | Behavior Technician | 8200 Humboldt Ave S Suite 100, Bloomington, MN 55431 | 2018-06-22 |
| 1073061552 | David Wells | Nurse Practitioner | 8100 Northland Dr., Bloomington, MN 55431 | 2016-09-14 |
| 1780033076 | Yasin Jama | Contractor | 9810 Drew Avenue South, Apartment 106, Bloomington, MN 55431 | 2016-06-07 |
| 1972961001 | Kadar Hadis | Social Worker | 8200 Humboldt Ave S Ste 217, Bloomington, MN 55431 | 2016-02-03 |
| 1063878908 | Amazing Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 9031 Penn Ave South Suite 100, Bloomington, MN 55431 | 2016-01-07 |
| 1093170136 | Kelsey Margaret Perreault | Chiropractor | 8120 Penn Ave. S., Suite 525, Bloomington, MN 55431 | 2015-12-16 |
| Find all providers in zip 55431 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396718060 | Jackie J Kingma | Physical Therapist | 1025 E 7th St, Hper C202, Bloomington, IN 47405-7109 | 2006-02-10 |
| 1447603915 | Paul Anthony Viterisi | Physical Therapist | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2016-07-19 |
| 1558749416 | Terese Chmielewski | Physical Therapist | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2015-05-12 |
| 1235574682 | Jason Goldfarb | Physical Therapist | 3800 American Blvd W, Bloomington, MN 55431-4420 | 2013-04-29 |
| 1841588753 | Chad M Kofoed | Physical Therapist | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2011-07-12 |
| 1619166683 | Michelle Anne Reinink | Physical Therapist | 3800 American Blvd W, Bloomington, MN 55431-4420 | 2007-10-16 |
| 1164491908 | Gary David Webskowski | Physical Therapist | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063930493 | Thomas Broback | Physical Therapist | 14382 60th St N, Stillwater, MN 55082-6311 | 2017-09-06 |
| 1134667686 | Tiffany Moriarity | Physical Therapist | 13690 Rogers Dr Ste 180, Rogers, MN 55374-9309 | 2017-02-04 |
| 1437603016 | Mark Deschepper | Physical Therapist | 1600 University Ave W # 10, Saint Paul, MN 55104-3898 | 2016-08-11 |
| 1750757522 | Caleb Vizina | Physical Therapist | 1116 County Road 6 Sw, Howard Lake, MN 55349 | 2015-08-17 |
| 1467867010 | Andrea Price | Physical Therapist | 5775 Wayzata Blvd Ste 900, Saint Louis Park, MN 55416-2674 | 2014-06-23 |
| 1124431481 | John E Amundson | Physical Therapist | 410 30th Ave E Ste 102, Alexandria, MN 56308-4770 | 2014-06-04 |
| 1285975078 | Jacob Allen Wendland | Physical Therapist | 1304 W Lincoln Ave Ste C, Fergus Falls, MN 56537-4818 | 2013-03-05 |
| 1740524867 | Lisa Zeman | Physical Therapist | 8900 109th Ave N Ste 700, Champlin, MN 55316-3150 | 2012-11-15 |
| 1326309709 | Jacob Kretschmar | Physical Therapist | 13274 53rd St Ne, Spicer, MN 56288-9437 | 2012-06-02 |
| 1225279516 | Patricia F Knecht | Physical Therapist | 1560 Beam Ave Ste D, Maplewood, MN 55109-1171 | 2009-03-16 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 55431 |
Please comment or provide details below to improve the information on BRIAN EDMONSON.
| 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.