Active NPI
Momentum Healthcare Services
- Early Intervention Provider Agency
- Minneapolis, MN
National Provider Identifier
1396559613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- MOMENTUM HEALTHCARE SERVICES
- Practice address
- 229 Irving Ave N
Minneapolis, MN 55405-5501 - Phone
- (612) 636-0707
- NPI assigned
- Feb 5, 2025
- Last updated
- Feb 5, 2025
- 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
- Mohamed Ali Ismail
- Title
- Owner
- Phone
- (612) 442-6011
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | NU | Primary |
Addresses
Primary practice location
229 Irving Ave N
Minneapolis, MN 55405-5501
Mailing address
909 Gould Ave NE Apt 344
Columbia Heights, MN 55421-4718
Phone (612) 442-6011
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Behavior Technician
- Coon Rapids, MN
- NPI 1427826627
-
- Behavior Technician
- Minneapolis, MN
- NPI 1497629737
-
- Assistant Behavior Analyst
- Minneapolis, MN
- NPI 1225864713
-
- Behavior Technician
- Bloomington, MN
- NPI 1326918608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738713600000",
"number": "1396559613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 GOULD AVE NE APT 344",
"city": "COLUMBIA HEIGHTS",
"state": "MN",
"postal_code": "554214718",
"telephone_number": "612-442-6011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 IRVING AVE N",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554055501",
"telephone_number": "612-636-0707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOMENTUM HEALTHCARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-05",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A",
"authorized_official_last_name": "ISMAIL",
"authorized_official_first_name": "MOHAMED",
"authorized_official_middle_name": "ALI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-442-6011"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.