Organization Active NPI

Excel Physical Therapy Inc

  • Physical Therapist
  • Buffalo, MN
National Provider Identifier
1104822717
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2776 Issued in MN
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.