Full Circle Physical Therapy and Wellness LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FULL CIRCLE PHYSICAL THERAPY AND WELLNESS LLC

Practice address

4031 Yosemite Ave S
St Louis Park, MN 55416-2814

Phone

(952) 847-3066

NPI assigned

Mar 5, 2021

Organization subpart

No

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

Authorized official

Name

Sarah Kellen, PT, DPTNPI 1962993600

Title

Doctor of Physical Therapy

Phone

(952) 847-3066

Specialties & licenses 1

Addresses

Practitioners 1

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

• Sarah Kellen

  • Physical Therapist
  • Saint Louis Park, MN
  • NPI 1962993600
  NPD Authorized official

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1346835998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 YOSEMITE AVE S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 YOSEMITE AVE S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162814",
            "telephone_number": "952-847-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE PHYSICAL THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "KELLEN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "952-847-3066",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Marie Frost, MST, CCC SLP
• Brenda Marie Frye, PH.D, LP, LPCC
• Caitlin Blake Fryklund, PA-C
• Sonya Fuad, M.D.
• Katherine Fuchs
• Full Spectrum Psychotherapy, LLC
• Function LLC
• Function, LLC
• Edwin H Funk
• Laura Michelle Furda-Raine, M.D.

• Physical Therapy Clinic/Center in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Physical Therapy Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.