Organization Active NPI

Fix It Physical Therapy, LLC

  • Physical Therapist
  • Vadnais Heights, MN
National Provider Identifier
1356277511
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FIX IT PHYSICAL THERAPY, LLC
Practice address
3485 Willow Lake Blvd Ste 300
Vadnais Heights, MN 55110-5155
Phone
(651) 797-4430
NPI assigned
Jun 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Dr. Kelly Lynne Roberts Lane, DPT
Title
Owner, Ceo, Physical Therapist
Phone
(651) 283-4095

Specialties & licenses 1

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

Addresses

Primary practice location

3485 Willow Lake Blvd Ste 300
Vadnais Heights, MN 55110-5155

Mailing address

3485 Willow Lake Blvd Ste 300
Vadnais Heights, MN 55110-5155
Phone (651) 797-4430

Other practice location 1

11102 91st Ave N Ste 100
Maple Grove, MN 55369-7707
Phone (612) 222-3029

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1782172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1356277511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3485 WILLOW LAKE BLVD STE 300",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551105155",
            "telephone_number": "651-797-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 WILLOW LAKE BLVD STE 300",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551105155",
            "telephone_number": "651-797-4430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11102 91st Ave N Ste 100",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553697707",
            "country_code": "US",
            "telephone_number": "612-222-3029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FIX IT PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "ROBERTS LANE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER, CEO, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "651-283-4095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vadnais Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.