Active NPI
Excel Physical Therapy Inc
- Physical Therapist
- Buffalo, MN
National Provider Identifier
1104822717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2776
- Legal business name
- EXCEL PHYSICAL THERAPY INC
- Practice address
- 300 Catlin St
Suite 100
Buffalo, MN 55313-2001 - Phone
- (763) 682-2202
- Fax
- (763) 682-2439
- NPI assigned
- Jun 28, 2005
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Virgil J Michaelis Jr., PT
- Title
- Physical Therapist Owner
- Phone
- (763) 682-2202
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2776 | MN | Primary |
Addresses
Primary practice location
300 Catlin St
Suite 100
Buffalo, MN 55313-2001
Mailing address
300 Catlin St
Suite 100
Buffalo, MN 55313-2001
Phone (763) 682-2202
National Provider Directory
National Provider DirectoryLocations
300 Catlin St
Ste 100
Buffalo, MN 55313
Phone (763) 382-2202
1021 Bandana Blvd E
Ste 100A
Saint Paul, MN 55108
1111 Holcombe St S
Stillwater, MN 55082
Phone (651) 241-3481
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Physician Assistant
- Roseville, MN
- NPI 1194924068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104822717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 CATLIN ST",
"address_2": "SUITE 100",
"city": "BUFFALO",
"state": "MN",
"postal_code": "553132001",
"telephone_number": "763-682-2202",
"fax_number": "763-682-2439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CATLIN ST",
"address_2": "SUITE 100",
"city": "BUFFALO",
"state": "MN",
"postal_code": "553132001",
"telephone_number": "763-682-2202",
"fax_number": "763-682-2439"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCEL PHYSICAL THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MICHAELIS",
"authorized_official_first_name": "VIRGIL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PHYSICAL THERAPIST OWNER",
"authorized_official_telephone_number": "763-682-2202",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MN",
"license": "2776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.