Timber Wellness LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

TIMBER WELLNESS LLC

Practice address

13770 Frontier CT
Burnsville, MN 55337-4810

Phone

(702) 848-2256

Fax

(702) 485-6746

NPI assigned

Mar 18, 2022

Organization subpart

No

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

Authorized official

Name

Glen Rebman, MDNPI 1487181558

Title

Owner

Phone

(630) 930-4014

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Glen Rebman, DO

  • Psychiatry Physician
  • Minneapolis, MN
  • NPI 1487181558
  NPD Authorized official

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1306595236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7881 W CHARLESTON BLVD STE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178327",
            "telephone_number": "702-508-2153",
            "fax_number": "702-508-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13770 FRONTIER CT",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374810",
            "telephone_number": "702-848-2256",
            "fax_number": "702-485-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBER WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "REBMAN",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-930-4014",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487181558",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Emily Thorne, SLP
• Stacy Marie Thornhill, D.C.
• Andrew Thomas Thornton, MD, MPH
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• Ziko Togan

• Psychiatry Physician in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Psychiatry Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.