Organization Active NPI

Rainbow of Health Physical Therapy, Inc.

  • Physical Therapist
  • Brainerd, MN
National Provider Identifier
1477650331
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5543 Issued in MN
Legal business name
RAINBOW OF HEALTH PHYSICAL THERAPY, INC.
Practice address
224 N 5TH St
Brainerd, MN 56401-3348
Phone
(218) 829-4231
Fax
(218) 825-3855
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Authorized official

Name
Mrs. Linda Cohee Calderon, PTA
Title
Officer
Phone
(218) 829-4231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 5543 MN Primary

Addresses

Primary practice location

224 N 5TH St
Brainerd, MN 56401-3348

Mailing address

224 N 5TH St
Brainerd, MN 56401-3348
Phone (218) 829-4231

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1477650331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 N 5TH ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013348",
            "telephone_number": "218-829-4231",
            "fax_number": "218-825-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 N 5TH ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013348",
            "telephone_number": "218-829-4231",
            "fax_number": "218-825-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW OF HEALTH PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "COHEE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "218-829-4231",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "5543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brainerd, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.