PARK AVENUE THERAPIES INC (NPI# 1750631982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750631982 |
| Entity Type | Organization |
| Organization Name | PARK AVENUE THERAPIES INC |
| Practice Address |
1204 Cloquet Ave Cloquet MN 55720-1622 |
| Practice Telephone | 2188780805 |
| Practice Fax Number | 2188793599 |
| Mailing Telephone | 2188780805 |
| Mailing Fax Number | 2188793599 |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-09-14 |
| Authorized Official Name | DR. SETH ADAM STEMMER (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 7634860054 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
9079 | MN | Ambulatory Health Care Facilities |
| Street Address |
1204 CLOQUET AVE |
| City | CLOQUET |
| State | MN |
| Zip Code | 55720-1622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437127834 | Park Avenue Therapies | Physical Therapist | 1204 Cloquet Ave, Cloquet, MN 55720-1622 | 2006-03-10 |
| 1326698531 | Kelly Lynn Burgner | Physical Therapist | 1204 Cloquet Ave, Cloquet, MN 55720-1622 | 2019-09-19 |
| 1912416173 | Cory Wheeler Gebhard | Physical Therapist | 1204 Cloquet Ave, Cloquet, MN 55720-1622 | 2017-09-20 |
| 1184179467 | Stephanie Ann Elling | Physical Therapist | 1204 Cloquet Ave, Cloquet, MN 55720 | 2016-08-17 |
| 1114350543 | Betty Jean Pollock | Specialist/Technologist | 1204 Cloquet Ave, Cloquet, MN 55720 | 2013-08-21 |
| 1952656480 | Seth A. Stemmer | Physical Therapist | 1204 Cloquet Ave, Cloquet, MN 55720-1622 | 2012-07-20 |
| 1326352535 | Kathryn Dorothy Roufs | Physical Therapist | 1204 Cloquet Ave, Cloquet, MN 55720-1622 | 2010-07-29 |
| 1578677183 | Monica Cristina Kasari-desulme | Physical Therapist | 1204 Cloquet Ave, Cloquet, MN 55720-1622 | 2006-08-19 |
| 1669430625 | Teresa L Backus | Physical Therapist | 1204 Cloquet Ave, Cloquet, MN 55720-1622 | 2006-05-01 |
| 1861452724 | Rhonda J Johnson | Physical Therapist | 1204 Cloquet Ave, Cloquet, MN 55720-1622 | 2006-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447786652 | Awakening Growth, LLC | Social Worker | 116 Ave C, Cloquet, MN 55720 | 2017-05-08 |
| 1396129706 | Kara Danielle Ebert | Marriage & Family Therapist | 913 Stanley Ave, Cloquet, MN 55720 | 2015-07-15 |
| 1639577729 | Fcsl Cloquet, LLC | Assisted Living Facility | 130 W North Road, Cloquet, MN 55720 | 2014-12-05 |
| 1699173765 | Fcsl Cloquet, LLC | Assisted Living Facility | 132 W North Road, Cloquet, MN 55720 | 2014-12-05 |
| 1134426778 | Fond Du Lac Reservation Business Committee | Assisted Living Facility | 1571 Airport Road, Fond Du Lac Assisted Living, Cloquet, MN 55720 | 2011-02-17 |
| 1417124553 | Kara Lynn Fausch | Family Medicine | 512 Skyline Boulevard, Cloquet, MN 55720 | 2008-05-08 |
| 1013199769 | Carlton Co Public Health & Human Services | Public Health or Welfare | 30 N 10th Street, Cloquet, MN 55720 | 2007-12-04 |
| 1881808616 | Stephen David Parkhurst | Chiropractor | 903 Cloquet Avenue, Cloquet, MN 55720 | 2007-05-10 |
| 1093929861 | Northland Afc,inc | Day Training, Developmentally Disabled Services | 1576 White Pine Trail, Cloquet, MN 55720 | 2007-05-10 |
| 1235341231 | Northland Afc,inc | Day Training, Developmentally Disabled Services | 6580 W Arrowhead Rd., Cloquet, MN 55720 | 2007-05-04 |
| Find all providers in zip 55720 | ||||
| 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 |
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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.