Individual provider Active NPI

Robert Henry Seeds, P.T. PHD

  • Physical Therapist
  • Mendota Heights, MN
National Provider Identifier
1366491458
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7661 Issued in MN
Practice address
2520 Pilot Knob Rd
Suite 250
Mendota Heights, MN 55120-1137
Phone
(651) 224-8264
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7661 MN Primary

Addresses

Primary practice location

2520 Pilot Knob Rd
Suite 250
Mendota Heights, MN 55120-1137

Mailing address

3699 Jeffers Parkway Northwest
Prior Lake, MN 55372-4476
Phone (414) 731-0295

Other identifiers 1

IdentifierTypeStateIssuer
7661OtherMNSTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366491458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3699 JEFFERS PARKWAY NORTHWEST",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553724476",
            "telephone_number": "414-731-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 PILOT KNOB RD",
            "address_2": "SUITE 250",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201137",
            "telephone_number": "651-224-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEEDS",
        "first_name": "ROBERT",
        "middle_name": "HENRY",
        "credential": "P.T.  PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "7661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "7661",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendota Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.