Organization Active NPI

Transcend Rehab & Wellness LLC

  • Physical Therapy Clinic/Center
  • Willmar, MN
National Provider Identifier
1083176101
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
TRANSCEND REHAB & WELLNESS LLC
Practice address
2800 1St St S Ste 110
Willmar, MN 56201-4271
Phone
(320) 318-8812
Fax
(320) 318-8813
NPI assigned
Apr 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Authorized official

Name
Tamara Lynn Kobienia, PT, MANPI 1164586780
Title
Physical Therapist
Phone
(320) 318-8812

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2800 1St St S Ste 110
Willmar, MN 56201-4271

Mailing address

2800 1St St S Ste 110
Willmar, MN 56201-4271
Phone (320) 318-8812

Other names 1

  • Transcend Rehab & Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190806002046 MN Part B Supplier - Clinic/Group Practice 1153658729 Receives reassigned benefits from 1 practitioner
Practice locations: Willmar, MN

National Provider Directory

National Provider Directory

Locations

2800 1st St S
Ste 110
Willmar, MN 56201
Phone (320) 318-8812

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1083176101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 1ST ST S STE 110",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014271",
            "telephone_number": "320-318-8812",
            "fax_number": "320-318-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 1ST ST S STE 110",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014271",
            "telephone_number": "320-318-8812",
            "fax_number": "320-318-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSCEND REHAB & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-05",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "KOBIENIA",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "320-318-8812",
        "authorized_official_credential": "PT, MA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Transcend Rehab & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Transcend Rehab & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Willmar, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.