The Amazing Journey, LLC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

8645 Issued in MN

Legal business name

THE AMAZING JOURNEY, LLC

Practice address

7658 Design Rd
Suite 300
Baxter, MN 56425-8439

Phone

(218) 454-4600

Fax

(218) 454-4601

NPI assigned

Feb 3, 2012

Organization subpart

No

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

Authorized official

Name

Ryan Meyer

Title

Operations Manager

Phone

(218) 454-4600

Specialties & licenses 3

Addresses

Other names 1

• The Amazing Journey Doing business as

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1194097337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7658 DESIGN RD",
            "address_2": "SUITE 300",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258439",
            "telephone_number": "218-454-4600",
            "fax_number": "218-454-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7658 DESIGN RD",
            "address_2": "SUITE 300",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258439",
            "telephone_number": "218-454-4600",
            "fax_number": "218-454-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE AMAZING JOURNEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "218-454-4600"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MN",
            "license": "8645",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "104320",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "8993",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Amazing Journey",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqueline Taye
• Colin P Taylor, DDS
• Emilee Paige Taylor
• Myla Marie Taylor, LMT
• The Amazing Journey, Inc
• Ronnie Mae Theis
• Alyssa Thesing
• Hannah Thiry, MD
• Scott David Timmons, D.D.S.
• Shannon Michelle Torborg, PSY.D., L.P.

• Pediatric Physical Therapist in Baxter, MN
• Providers in Baxter, MN by specialty
• Pediatric Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.