NPIMap

Organization Active NPI

Horizon Mental and Rehabilitation Services

  • Physical Therapist
  • Minneapolis, MN
National Provider Identifier
1215278601
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6097 Issued in MN
Legal business name
HORIZON MENTAL AND REHABILITATION SERVICES
Practice address
1527 E Lake St Ste 120
Minneapolis, MN 55407-6701
Phone
(612) 259-7746
Fax
(612) 208-0618
NPI assigned
Mar 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Authorized official

Name
Dr. Anisa Mohammed, PSY D, LP
Title
Clinical Director
Phone
(612) 259-7746

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X LP5667 MN
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X LP5667 MN
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 165 MN
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X 162 MN
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 6097 MN Primary

Addresses

Primary practice location

1527 E Lake St Ste 120
Minneapolis, MN 55407-6701

Mailing address

1527 E Lake St Ste 120
Minneapolis, MN 55407-6701
Phone (612) 259-7746

National Provider Directory

National Provider Directory

Locations

1527 E Lake St
Ste 120
Minneapolis, MN 55407
Phone (612) 259-7746

NPI Registry JSON

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

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1215278601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 E LAKE ST STE 120",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554076701",
            "telephone_number": "612-259-7746",
            "fax_number": "612-208-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 E LAKE ST STE 120",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554076701",
            "telephone_number": "612-259-7746",
            "fax_number": "612-208-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON MENTAL AND REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-08",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "ANISA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "612-259-7746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY D, LP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP5667",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP5667",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "165",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "162",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "6097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.