Northstar Therapy Center LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

NORTHSTAR THERAPY CENTER LLC

Practice address

207 Lyndale Ave South Suite I
Faribault, MN 55021

Phone

(614) 822-7532

NPI assigned

Jan 19, 2021

Organization subpart

No

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

Authorized official

Name

Abshir Yusuf HajiNPI 1710455043

Title

Owner

Phone

(614) 822-7532

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abshir Yusuf Haji

  • Behavior Technician
  • Faribault, MN
  • NPI 1710455043
  NPD Authorized official

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1245820802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 LYNDALE AVE SOUTH SUITE I",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "55021",
            "telephone_number": "614-822-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 LYNDALE AVE SOUTH SUITE I",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "55021",
            "telephone_number": "614-822-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "HAJI",
        "authorized_official_first_name": "ABSHIR",
        "authorized_official_middle_name": "YUSUF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-822-7532"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaac John Noble, DPT
• Paige Marie Noel, LADC
• Nomeland Dental LLC
• Thomas Jason Nomeland, D.D.S.
• Northfield Hospital
• Kristina Nowak
• Jenny O'Malley, O.D.
• Mark Lavern Ohlsen
• Joseph Oliver
• Bashir Omar I

• Early Intervention Provider Agency in Faribault, MN
• Providers in Faribault, MN by specialty
• Early Intervention Provider Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.