Active NPI
Fix It Physical Therapy, LLC
- Physical Therapist
- Vadnais Heights, MN
National Provider Identifier
1356277511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryNPI 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.