Support Therapy LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SUPPORT THERAPY LLC

Practice address

9740 Grand Ave S Ste 201
Bloomington, MN 55420-4225

Phone

(470) 979-0239

NPI assigned

Dec 8, 2025

Organization subpart

No

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

Authorized official

Name

Abdifatah Omar Abdi

Title

Owner

Phone

(470) 979-0239

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1255294062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9740 GRAND AVE S STE 201",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554204225",
            "telephone_number": "470-979-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9740 GRAND AVE S STE 201",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554204225",
            "telephone_number": "470-979-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "ABDI",
        "authorized_official_first_name": "ABDIFATAH",
        "authorized_official_middle_name": "OMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-979-0239"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.