Organization Active NPI

Spinal Designs International

  • Physical Therapist
  • Minneapolis, MN
National Provider Identifier
1265519565
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SPINAL DESIGNS INTERNATIONAL
Doing business as
Lifeback Spine Rehab Clinic
Practice address
1300 Godward St NE
Suite 1500
Minneapolis, MN 55413-1741
Phone
(612) 746-4747
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Steven H Comingdeer
Title
Payer Relations MGR
Phone
(612) 378-7235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1300 Godward St NE
Suite 1500
Minneapolis, MN 55413-1741

Mailing address

1300 Godward St NE
Suite 6250
Minneapolis, MN 55413
Phone (800) 457-9356

Other names 1

  • Lifeback Spine Rehab Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1300 Godward St NE
Ste 1500
Minneapolis, MN 55413
Phone (612) 746-4747

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1265519565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 GODWARD ST NE",
            "address_2": "SUITE 6250",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55413",
            "telephone_number": "800-457-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 GODWARD ST NE",
            "address_2": "SUITE 1500",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131741",
            "telephone_number": "612-746-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL DESIGNS INTERNATIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "COMINGDEER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PAYER RELATIONS MGR",
        "authorized_official_telephone_number": "612-378-7235"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifeback Spine Rehab Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 20, 2008; 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.