THEREX REHAB SPECIALISTS, LLC (NPI# 1629004692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629004692 |
Entity Type | Organization |
Organization Name | THEREX REHAB SPECIALISTS, LLC |
Practice Address |
1125 Woodbury Drive Suite 100 Woodbury MN 55129 |
Mailing Address |
1325 Schooner Ct Woodbury MN 55125-9295 |
Practice Telephone | 6515012010 |
Practice Fax Number | 6517301121 |
Mailing Telephone | 6515012010 |
Mailing Fax Number | 6517301121 |
Enumeration Date | 2006-06-23 |
Last Update Date | 2007-10-16 |
Authorized Official Name | MS. JAN MARGURITE HANSON (OWNER) |
Authorized Official Telephone | 6515012010 |
Authorized Official Credential | PT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
885 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | BCBS OF MN | 033M9TH | 01 |
Street Address |
1125 WOODBURY DRIVE SUITE 100 |
City | WOODBURY |
State | MN |
Zip Code | 55129 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518223064 | Andrew S Erlandson | Chiropractor | 1125 Woodbury Drive, 500, Woodbury, MN 55125 | 2012-04-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770006983 | Logan Thompson | Chiropractor | 10631 Pond Curve, Woodbury, MN 55129 | 2017-07-19 |
1942650619 | The Hendricks Group Inc. | Assisted Living Facility | 10025 Antrim Court, Woodbury, MN 55129 | 2016-06-14 |
1235588468 | Nathan Robert Mayernik | Physical Therapist | 4123 Radio Dr, Suite 100, Woodbury, MN 55129 | 2016-06-08 |
1699146035 | St. Therese of Woodbury, LLC | Skilled Nursing Facility | 7555 Bailey Road, Woodbury, MN 55129 | 2015-10-12 |
1548602865 | Monica Bajracharya | Internal Medicine | 9373 Compass Pointe Rd, Woodbury, MN 55129 | 2013-07-28 |
1730454752 | Amanda E Feeney | Physical Therapist | 4123 Radio Drive, Ste 100, Woodbury, MN 55129 | 2012-03-09 |
1104193762 | Minneapolis-st.paul Endodontics | Dentist | 10150 City Walk Dr Ste C, Woodbury, MN 55129 | 2011-11-28 |
1659502417 | Charles Goff Jr. | Marriage & Family Therapist | 1919 University Ave W Suite 200, St. Paul, MN 55129 | 2009-07-28 |
1497821391 | Kyle Riley Edlund | Dentist | 3060 Woodbury Drive, #b, Woodbury, MN 55129 | 2006-11-24 |
1902979206 | Robert Edgar Eng | Dentist | 3100 Woodbury Drive, Woodbury, MN 55129 | 2006-11-16 |
Find all providers in zip 55129 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518122456 | Elizabeth C Lostetter | Physical Therapist | 731 Bielenberg Dr Ste 107, Woodbury, MN 55125-1701 | 2008-07-21 |
1528237302 | James Michael Yares | Physical Therapist | 1625 Radio Dr Ste 220, Woodbury, MN 55125-9476 | 2008-02-26 |
1740404755 | Gina L Donato | Physical Therapist | 51 Sherman Hill Rd Ste A201, Woodbury, CT 06798-3694 | 2007-04-12 |
1073618773 | Jan Hanson | Physical Therapist | 1125 Woodbury Dr, Suite 100, Woodbury, MN 55129-9291 | 2006-09-14 |
1386689321 | Thomas Chen Lee | Physical Therapist | 170 Crossways Park Dr, Woodbury, NY 11797-2029 | 2006-06-16 |
1306899463 | Summit Orthopedics, Ltd | Physical Therapist | 710 Commerce Dr Ste 200, Woodbury, MN 55125 | 2006-05-18 |
1306806146 | Randy Lee Brehmer | Physical Therapist | 2090 Woodwinds Drive, Woodbury, MN 55125-2522 | 2006-03-24 |
1770552770 | Kristen Marie Holmen | Physical Therapist | 2090 Woodwinds Dr., Woodbury, MN 55125 | 2006-03-14 |
1407341696 | Brian J Gahlon | Physical Therapist | 155 Radio Dr, Woodbury, MN 55125-2619 | 2018-06-29 |
1760976245 | Cassidy Ellyn Peterson | Physical Therapist | 155 Radio Dr, Woodbury, MN 55125-2619 | 2018-06-19 |
Find all providers in WOODBURY |
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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.