INFINITE HEALTH COLLABORATIVE, PA (NPI# 1821174657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821174657 |
| Entity Type | Organization |
| Organization Name | INFINITE HEALTH COLLABORATIVE, PA |
| Practice Address |
4100 Minnesota Dr Edina MN 55435-5417 |
| Mailing Address |
4200 Dahlberg Dr Suite 300 Golden Valley MN 55422-4840 |
| Practice Telephone | 9524567000 |
| Practice Fax Number | 9524567598 |
| Mailing Telephone | 9525125600 |
| Mailing Fax Number | 9525125650 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2019-10-08 |
| Authorized Official Name | TROY R SIMONSON (CEO) |
| Authorized Official Telephone | 9525125639 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306226576 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 1715 Tower Dr W, Suite 100, Stillwater, MN 55082-7583 | 2015-06-03 |
| 1568840916 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 411 Stageline Rd, Suite 100, Hudson, WI 54016-7848 | 2015-05-18 |
| 1407249477 | Infinite Health Collaborative, Pa | Exclusive Provider Organization | 6754 Valley View Rd, Edina, MN 55439-1761 | 2015-03-14 |
| 1619051422 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 12982 Valley View Rd, Eden Prairie, MN 55344-3657 | 2006-10-25 |
| 1497837249 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 4570 Churchill St, Suite 300, Shoreview, MN 55126-2222 | 2006-10-20 |
| 1164474250 | Infinite Health Collaborative, Pa | Family Medicine | 4200 Dahlberg Dr, Suite 300, Golden Valley, MN 55422-4840 | 2006-05-17 |
| 1568098226 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 1830 Hanley Rd, Hudson, WI 54016-9368 | 2020-03-13 |
| 1265937213 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 11225 Ulysses St Ne, Blaine, MN 55434-4261 | 2018-03-29 |
| 1629576467 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 2700 Vikings Cir, Eagan, MN 55121-1002 | 2018-01-26 |
| 1730554098 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 310 Smith Ave N, Suite 330, Saint Paul, MN 55102-2393 | 2015-12-11 |
| Street Address |
4100 MINNESOTA DR |
| City | EDINA |
| State | MN |
| Zip Code | 55435-5417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386623304 | Marguerite Y Heie | Physical Therapist | 4100 Minnesota Dr, Edina, MN 55435-5417 | 2006-01-10 |
| 1104306497 | Jill Lauren Greenfield | Physical Therapist | 4100 Minnesota Dr, Edina, MN 55435-5417 | 2018-08-16 |
| 1750868352 | Alexa Marie Horning | Physical Therapist | 4100 Minnesota Dr, Edina, MN 55435-5417 | 2018-07-26 |
| 1093231714 | James Palmer | Physical Therapist | 4100 Minnesota Dr, Edina, MN 55435 | 2017-08-15 |
| 1275058505 | Elise Suemin Lee | Physical Therapist | 4100 Minnesota Dr, Edina, MN 55435-5417 | 2017-08-08 |
| 1932637345 | Jeffrey John Lapanta | Physical Therapist | 4100 Minnesota Dr, Edina, MN 55435-5417 | 2017-05-30 |
| 1316394307 | Daniel Bergevin-smith | Physical Therapist | 4100 Minnesota Dr, Edina, MN 55435-5417 | 2016-05-19 |
| 1255708079 | Caitlin R Jurgens | Physical Therapist | 4100 Minnesota Dr, Edina, MN 55435-5417 | 2015-08-27 |
| 1154620847 | Brooke Deshler | Physical Therapist | 4100 Minnesota Dr, Edina, MN 55435 | 2011-03-21 |
| 1942439906 | Becky Renee Stealy | Physical Therapist | 4100 Minnesota Dr, Edina, MN 55435 | 2009-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770547796 | Fairview Health Services | Prosthetic/Orthotic Supplier | 6545 France Ave S, Ste 450b, Edina, MN 55435-2131 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578648 | Kanika Lanese Baker | Prosthetic/Orthotic Supplier | 7240 Brooklyn Blvd Ste 150, Brooklyn Park, MN 55429-1274 | 2020-11-05 |
| 1932758067 | David Allen Young | Prosthetic/Orthotic Supplier | 1163 Wayzata Blvd E, Wayzata, MN 55391-1935 | 2019-09-11 |
| 1073080230 | Rebound Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 2805 Campus Dr Ste 101, Plymouth, MN 55441-2676 | 2018-10-25 |
| 1760998165 | Abilitech Medical, Inc. | Prosthetic/Orthotic Supplier | 628 Pine St, Saint Paul, MN 55130-4421 | 2017-12-20 |
| 1003351990 | Arise Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 8338 Highway 65 Ne, Suite E, Spring Lake Park, MN 55432-1364 | 2016-12-30 |
| 1073065298 | Language of Hair | Prosthetic/Orthotic Supplier | 1615 London Rd, Duluth, MN 55812-1620 | 2016-11-04 |
| 1275900664 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 12401 Wayzata Blvd, Minnetonka, MN 55305-1974 | 2015-09-01 |
| 1326483264 | Prosthetic Specialties LLC | Prosthetic/Orthotic Supplier | 13143 Lake Place Rd, Zimmerman, MN 55398-9567 | 2013-05-06 |
| 1427300706 | Rebound Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 1073 Highway 15 S, Plaza 15, Hutchinson, MN 55350-3153 | 2012-10-10 |
| 1033461322 | Rebound Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 300 Catlin St Ste 104, Buffalo, MN 55313-2035 | 2012-10-10 |
| 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.