Mendota Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MENDOTA PHYSICAL THERAPY LLC

Practice address

1270 Northland Dr Ste 175
Mendota Heights, MN 55120-1412

Phone

(651) 905-9000

Fax

(651) 454-1603

NPI assigned

Apr 28, 2014

Organization subpart

No

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

Authorized official

Name

Heather Lyn Engelbert, MPT

Title

Clinic Owner, Clinician

Phone

(651) 905-9000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1487064507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 NORTHLAND DR STE 175",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201412",
            "telephone_number": "651-905-9000",
            "fax_number": "651-454-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 NORTHLAND DR STE 175",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201412",
            "telephone_number": "651-905-9000",
            "fax_number": "651-454-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDOTA PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-28",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "ENGELBERT",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "CLINIC OWNER, CLINICIAN",
        "authorized_official_telephone_number": "651-905-9000",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mendakota Chiropractic, PLLC
• Mendota Autism Center LLC
• Mendota Dental Associates
• Mendota Heights Dental Center
• Mendota Heights WP LLC
• Amanda Marie Mesenbrink
• Aubrey Miller, LPCC
• Gregory Aaron Miller
• Martha Miller
• Dove Mitchell

• Physical Therapy Clinic/Center in Mendota Heights, MN
• Providers in Mendota Heights, MN by specialty
• Physical Therapy Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.