Minnesota Neurorehabilitation Institute, PLLC

Primary specialty

Brain Injury Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P0301X

Legal business name

MINNESOTA NEUROREHABILITATION INSTITUTE, PLLC

Practice address

7400 Metro Blvd Ste 400
Edina, MN 55439-2326

Phone

(612) 999-1908

NPI assigned

Dec 26, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Steven Lockman, M.D.NPI 1689614794

Title

Ceo

Phone

(612) 850-8278

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: steven@lockmanmedical.com

Practitioners 1

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

• Steven D Lockman, MD

  • Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
  • Edina, MN
  • NPI 1689614794
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1083253991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4428 BROOKSIDE AVE",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554361507",
            "telephone_number": "612-850-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 METRO BLVD STE 400",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392326",
            "telephone_number": "612-999-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA NEUROREHABILITATION INSTITUTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-26",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "LOCKMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-850-8278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081N0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P0301X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Steven@LockmanMedical.com",
            "affiliation": "Y",
            "endpointDescription": "direct provider email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12805 Hwy 55 Ste 304",
            "city": "Plymouth",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554413826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Edina, MN
• Providers in Edina, MN by specialty
• Physical Medicine & Rehabilitation Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.