FITNESS FOCUS, INC. (NPI# 1720156680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720156680 |
| Entity Type | Organization |
| Organization Name | FITNESS FOCUS, INC. |
| Other Organization Name | FITNESS FOCUS |
| Practice Address |
688 Wildwood Road Mahtomedi MN 55115-2060 |
| Practice Telephone | 6514299947 |
| Practice Fax Number | 6514291029 |
| Mailing Telephone | 6514299947 |
| Mailing Fax Number | 6514291029 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2011-03-29 |
| Authorized Official Name | MRS. SHANNON DEE MAIXNER (OWNER - PHYSICAL THERAPIST) |
| Authorized Official Telephone | 6514299947 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
4723 | MN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fitness Focus | Doing Business As Name - Organization |
| Street Address |
688 WILDWOOD ROAD |
| City | MAHTOMEDI |
| State | MN |
| Zip Code | 55115-2060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235742115 | Berger Built Construction Co. Inc. | Contractor | 217 Maple Street, Mahtomedi, MN 55115 | 2020-08-28 |
| 1730471517 | Erin Jeanine Schmidt | Family Medicine | 700 Wildwood Rd, Mahtomedi, MN 55115 | 2011-05-11 |
| 1770710972 | Perri Lynn Kauls | Dentist | 12 Long Lake Road, Number 12, Mahtomedi, MN 55115 | 2009-06-15 |
| 1538218284 | Mahtomedi Natural Care Center | Chiropractor | 1526 Mahtomedi Ave, Mahtomedi, MN 55115 | 2007-01-10 |
| 1619025855 | Gina Christine Nelson | Chiropractor | 1526 Mahtomedi Avenue, Mahtomedi, MN 55115 | 2007-01-06 |
| 1295824126 | City of Mahtomedi | Ambulance | 800 Stillwater Rd, Mahtomedi, MN 55115 | 2006-10-11 |
| 1730125063 | Richard Winfield Copeland Jr. | Dentist | 130 Hickory St, Mahtomedi, MN 55115 | 2006-06-22 |
| 1922475920 | Group Health Plan, Inc. | Family Medicine | 700 Wildwood Rd, Mahtomedi, MN 55115 | 2015-08-25 |
| 1871132308 | Tyler Jordan Depaulis | Chiropractor | 12 Long Lake Rd Ste 19, Mahtomedi, MN 55115-1200 | 2020-01-01 |
| 1205214525 | Brittany Greeder | Specialist/Technologist | 9960 Justen Trl N, Mahtomedi, MN 55115-1328 | 2015-05-07 |
| Find all providers in zip 55115 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| 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 | ||||
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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.