Phoenix Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHOENIX PHYSICAL THERAPY, INC.

Doing business as

Seeds of Change Health and Wellness Center

Practice address

3939 W 69TH St Unit B
Edina, MN 55435-2001

Phone

(952) 562-2420

Fax

(952) 562-2421

NPI assigned

Jun 23, 2005

Last updated

Feb 1, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dori C. Brown, MPTNPI 1316943368

Title

President

Phone

(952) 314-9419

Specialties & licenses 1

Addresses

Other names 1

• Seeds of Change Health and Wellness Center Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dori C. Brown, MPT

  • Physical Therapist
  • Burnsville, MN
  • NPI 1316943368
  NPD (past) Authorized official
• Trudy K. Fredin, PT

  • Physical Therapist
  • Burnsville, MN
  • NPI 1487650438
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580515200000",
    "number": "1033115084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4408 HARRIET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554194851",
            "telephone_number": "952-314-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 W 69TH ST UNIT B",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352001",
            "telephone_number": "952-562-2420",
            "fax_number": "952-562-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2020-02-01",
        "certification_date": "2020-02-01",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DORI",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-314-9419",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seeds of Change Health and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniela Phillips, MD
• Katie Phillips
• Molly Elizabeth Phillips, DNP, APRN, FNP-C
• Paul P Phillips, MD
• Robert John Phillips, D.D.S.
• Phoenix Rising LLC (The Art of Healing)
• Anna Phongymany
• Physician Systems Inc
• Physician's Urgent Care P.a.
• Physicians' Diagnostics & Rehabilitation,LTD

• Physical Therapist in Edina, MN
• Providers in Edina, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.