NPIMap

Organization Active NPI

Center for Sports Medicine and Rehabilitation

  • Rehabilitation Hospital
  • Northfield, MN
National Provider Identifier
1396893293
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
1791 Issued in MN
Legal business name
CENTER FOR SPORTS MEDICINE AND REHABILITATION
Practice address
1381 Jefferson Rd
Northfield, MN 55057-3080
Phone
(507) 646-8800
NPI assigned
Jan 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Angela Leigh SelsethNPI 1598926602
Title
Certified Athletic Trainer
Phone
(507) 646-8800

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)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X 1791 MN Primary

Addresses

Primary practice location

1381 Jefferson Rd
Northfield, MN 55057-3080

Mailing address

1381 Jefferson Rd
Northfield, MN 55057-3080

Other identifiers 1

IdentifierTypeStateIssuer
1791OtherMNSTATE REGISTRATION NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Northfield City Hosp7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396893293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 JEFFERSON RD",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550573080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 JEFFERSON RD",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550573080",
            "telephone_number": "507-646-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR SPORTS MEDICINE AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SELSETH",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "CERTIFIED ATHLETIC TRAINER",
        "authorized_official_telephone_number": "507-646-8800"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "MN",
            "license": "1791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE REGISTRATION NUMBER",
            "identifier": "1791",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.