NPIMap

Organization Active NPI

Therapy Junction

  • Rehabilitation Clinic/Center
  • Plymouth, MN
National Provider Identifier
1184958704
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
103355 Issued in MN
Legal business name
THERAPY JUNCTION
Practice address
14130 23Rd Ave N
Plymouth, MN 55447-4904
Phone
(763) 383-7666
NPI assigned
Sep 29, 2009
Last updated
Jul 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Authorized official

Name
Jennifer TvrdyNPI 1407914625
Title
Owner
Phone
(763) 383-7666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X
Rehabilitation Clinic/Center 261QR0400X 103355 MN Primary
Physical Therapist 225100000X

Addresses

Primary practice location

14130 23Rd Ave N
Plymouth, MN 55447-4904

Mailing address

14130 23Rd Ave N
Plymouth, MN 55447-4904
Phone (763) 383-7666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150415000898 MN Part B Supplier - Clinic/Group Practice 0749508133 Receives reassigned benefits from 12 practitioners
Practice locations: Plymouth, MN

National Provider Directory

National Provider Directory

Locations

14130 23rd Ave N
Plymouth, MN 55447
Phone (763) 383-7666

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1184958704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14130 23RD AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554474904",
            "telephone_number": "763-383-7666",
            "fax_number": "763-383-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14130 23RD AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554474904",
            "telephone_number": "763-383-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY JUNCTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "TVRDY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-383-7666"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "MN",
            "license": "103355",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.