NPIMap

Organization Active NPI

Park Rapids Physical Therapy and Rehabilitation Center Inc

  • Physical Therapy Clinic/Center
  • Park Rapids, MN
National Provider Identifier
1285706549
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PARK RAPIDS PHYSICAL THERAPY AND REHABILITATION CENTER INC
Practice address
200 Main Ave S
Park Rapids, MN 56470-1518
Phone
(218) 732-0868
Fax
(218) 732-8502
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Authorized official

Name
Mrs. Sherry L Dahl
Title
Finance Manager
Phone
(479) 268-6742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

200 Main Ave S
Park Rapids, MN 56470-1518

Mailing address

200 Main Ave S
Park Rapids, MN 56470-1518
Phone (218) 732-0868

Other identifiers 1

IdentifierTypeStateIssuer
683227000MedicaidMN

National Provider Directory

National Provider Directory

Locations

200 Main Ave S
Park Rapids, MN 56470
Phone (218) 732-0868

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1285706549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MAIN AVE S",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564701518",
            "telephone_number": "218-732-0868",
            "fax_number": "218-732-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAIN AVE S",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564701518",
            "telephone_number": "218-732-0868",
            "fax_number": "218-732-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK RAPIDS PHYSICAL THERAPY AND REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "DAHL",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "479-268-6742",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "683227000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.