Step Ahead Therapy of Roseau Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4761 Issued in MN

Legal business name

STEP AHEAD THERAPY OF ROSEAU INC

Doing business as

Step Ahead Therapy

Practice address

1305 E 24TH St Ste 1
Minneapolis, MN 55404-3927

Phone

(612) 223-8879

Fax

(612) 567-4185

NPI assigned

Oct 27, 2015

Last updated

Jan 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jill Pederson

Title

Office Manager

Phone

(218) 461-1121

Specialties & licenses 1

Addresses

Other names 1

• Step Ahead Therapy Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1316319528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27081 LOWER RICE LAKE RD",
            "city": "BAGLEY",
            "state": "MN",
            "postal_code": "566214307",
            "telephone_number": "218-461-1120",
            "fax_number": "218-461-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 E 24TH ST STE 1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043927",
            "telephone_number": "612-223-8879",
            "fax_number": "612-567-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP AHEAD THERAPY OF ROSEAU INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "PEDERSON",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "218-461-1121"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "4761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@stepaheadtherapypt.com",
            "affiliation": "N",
            "address_1": "1305 E 24th St Ste 1",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554043927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Step Ahead Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Step Ahead Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Emerson Stenta, DO
• Holly Mary Stenzel Taynton, D.O.
• Donald A Stenzel
• Katie Stenzel, PHARM.D.
• Step a Head Health LLC
• Step Ahead Therapy of Roseau Inc (Step Ahead Therapy)
• Step Forward, Incorporated
• Step One Recovery LLC
• Michelle Jean Stepan, RD, LD
• Rebecca P Stepan, DNP, RN, CNP

• Physical Therapist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.