Organization Active NPI

Accelerated Sports Therapy & Fitness, Inc.

  • Physical Therapist
  • Plymouth, MN
National Provider Identifier
1164583977
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ACCELERATED SPORTS THERAPY & FITNESS, INC.
Practice address
14100 Carlson Pkwy # 200
Plymouth, MN 55441-5302
Phone
(763) 519-7900
NPI assigned
Dec 13, 2006
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
James D Sell, P.T.
Title
Owner
Phone
(763) 228-2467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

14100 Carlson Pkwy # 200
Plymouth, MN 55441-5302

Mailing address

PO Box 47035
Plymouth, MN 55447-0035
Phone (763) 228-2467

National Provider Directory

National Provider Directory

Locations

14100 Carlson Pkwy
Ste 200
Plymouth, MN 55441
Phone (763) 519-7900

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164583977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47035",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554470035",
            "telephone_number": "763-228-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 CARLSON PKWY # 200",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554415302",
            "telephone_number": "763-519-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCELERATED SPORTS THERAPY & FITNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-228-2467",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, 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.