NPIMap

Organization Active NPI

Twin Cities Occupational Health and Rehabilitation

  • Occupational Medicine Clinic/Center
  • Mendota Heights, MN
National Provider Identifier
1396045597
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
42667 Issued in MN
Legal business name
TWIN CITIES OCCUPATIONAL HEALTH AND REHABILITATION
Practice address
2520 Pilot Knob Road
Suite 250
Mendota Heights, MN 55120-1137
Phone
(651) 224-8264
Fax
(651) 224-8265
NPI assigned
Oct 22, 2010
Last updated
Oct 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Authorized official

Name
Janice K Raverty
Title
Clinic Administrator
Phone
(651) 224-8264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X 42667 MN Primary

Addresses

Primary practice location

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

Mailing address

2520 Pilot Knob Road
Suite 250
Mendota Heights, MN 55120-1137
Phone (651) 224-8264

National Provider Directory

National Provider Directory
Tax ID family
Twin Cities Occupational Health and Rehabilitation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1396045597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 PILOT KNOB ROAD",
            "address_2": "SUITE 250",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201137",
            "telephone_number": "651-224-8264",
            "fax_number": "651-224-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 PILOT KNOB ROAD",
            "address_2": "SUITE 250",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201137",
            "telephone_number": "651-224-8264",
            "fax_number": "651-224-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITIES OCCUPATIONAL HEALTH AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "RAVERTY",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "651-224-8264"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "MN",
            "license": "42667",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 22, 2010; 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.