NPIMap

Organization Active NPI

Radtke Physical Therapy Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Grand Rapids, MN
National Provider Identifier
1174854350
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RADTKE PHYSICAL THERAPY LIMITED PARTNERSHIP
Practice address
1542 Golf Course Rd
Suite 104
Grand Rapids, MN 55744-3555
Phone
(218) 326-3300
Fax
(218) 326-3400
NPI assigned
Jan 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Authorized official

Name
Chris Corrigan
Title
VP, Authorized Official
Phone
(713) 297-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1542 Golf Course Rd
Suite 104
Grand Rapids, MN 55744-3555

Mailing address

1542 Golf Course Rd
Suite 104
Grand Rapids, MN 55744-3555
Phone (218) 326-3300

National Provider Directory

National Provider Directory
Tax ID family
Radtke Physical Therapy Limited Partnership2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1174854350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 GOLF COURSE RD",
            "address_2": "SUITE 104",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443555",
            "telephone_number": "218-326-3300",
            "fax_number": "218-326-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 GOLF COURSE RD",
            "address_2": "SUITE 104",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443555",
            "telephone_number": "218-326-3300",
            "fax_number": "218-326-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADTKE PHYSICAL THERAPY LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "CORRIGAN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "VP, AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-297-7000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.