Jocelyn Lian Pediatric Physical Therapy Services, LLC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

JOCELYN LIAN PEDIATRIC PHYSICAL THERAPY SERVICES, LLC

Practice address

13889 Fawn Ridge Way
Apple Valley, MN 55124-5035

Phone

(612) 280-6065

Fax

(952) 236-0800

NPI assigned

Jan 25, 2016

Organization subpart

No

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

Authorized official

Name

Jocelyn Lian, PT

Title

Physical Therapist/Owner

Phone

(612) 280-6065

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1457718264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13889 FAWN RIDGE WAY",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551245035",
            "telephone_number": "612-280-6065",
            "fax_number": "952-236-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13889 FAWN RIDGE WAY",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551245035",
            "telephone_number": "612-280-6065",
            "fax_number": "952-236-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOCELYN LIAN PEDIATRIC PHYSICAL THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "LIAN",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "612-280-6065",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Physical Therapist in Apple Valley, MN
• Providers in Apple Valley, MN by specialty
• Pediatric Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.