Active NPI
Rebound Inc
- Clinical Social Worker
- Minneapolis, MN
National Provider Identifier
1144802844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- REBOUND INC
- Practice address
- 710 W Broadway Ave
Minneapolis, MN 55411-2612 - Phone
- (612) 205-6640
- Fax
- (612) 605-0046
- NPI assigned
- Apr 22, 2021
- 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
- Ms. Christy L Botts, JD, M.ED.
- Title
- Director of Operations
- Phone
- (612) 205-6640
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Case Management Agency | 251B00000X |
Addresses
Primary practice location
710 W Broadway Ave
Minneapolis, MN 55411-2612
Mailing address
710 W Broadway Ave
Minneapolis, MN 55411-2612
Phone (612) 205-6640
National Provider Directory
National Provider DirectoryLocations
6120 Earle Brown Dr
Ste 230
Minneapolis, MN 55430
Phone (612) 615-9821
710 W Broadway Ave
Minneapolis, MN 55411
Phone (612) 205-6640
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Minneapolis, MN
- NPI 1497337190
-
- Clinical Social Worker
- Brooklyn Center, MN
- NPI 1689408593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726531200000",
"number": "1144802844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 W BROADWAY AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554112612",
"telephone_number": "612-205-6640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 W BROADWAY AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554112612",
"telephone_number": "612-205-6640",
"fax_number": "612-605-0046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REBOUND INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-22",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A",
"authorized_official_last_name": "BOTTS",
"authorized_official_first_name": "CHRISTY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "612-205-6640",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "JD, M.ED."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.