Organization Active NPI

New Heights Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Woodbury, MN
National Provider Identifier
1184951717
Registry record updated Nov 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2057 Issued in MN
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

Updated by the provider on Nov 3, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
926314400MedicaidMN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.