Active NPI
New Heights Physical Therapy, LLC
- Physical Therapy Clinic/Center
- Woodbury, MN
National Provider Identifier
1184951717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 2057
- Legal business name
- NEW HEIGHTS PHYSICAL THERAPY, LLC
- Practice address
- 1976 Wooddale Drive
Woodbury, MN 55125 - Phone
- (651) 271-1512
- Fax
- (651) 436-2016
- NPI assigned
- Nov 3, 2009
- 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
- Heather Engelbert
- Title
- PT
- Phone
- (651) 271-1512
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 2057 | MN | Primary |
Addresses
Primary practice location
1976 Wooddale Drive
Woodbury, MN 55125
Mailing address
1976 Wooddale Drive
Woodbury, MN 55125
Phone (651) 271-1512
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 926314400 | Medicaid | MN |
National Provider Directory
National Provider DirectoryLocations
1976 Wooddale Dr
Ste 3B
Woodbury, MN 55125
Phone (651) 271-1512
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Mendota Heights, MN
- NPI 1588752299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1257206400000",
"number": "1184951717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1976 WOODDALE DRIVE",
"city": "WOODBURY",
"state": "MN",
"postal_code": "55125",
"telephone_number": "651-271-1512",
"fax_number": "651-436-2016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1976 WOODDALE DRIVE",
"city": "WOODBURY",
"state": "MN",
"postal_code": "55125",
"telephone_number": "651-271-1512",
"fax_number": "651-436-2016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW HEIGHTS PHYSICAL THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-03",
"last_updated": "2009-11-03",
"status": "A",
"authorized_official_last_name": "ENGELBERT",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "PT",
"authorized_official_telephone_number": "651-271-1512"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "MN",
"license": "2057",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "926314400",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.