Prescott Therapies LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PRESCOTT THERAPIES LLC

Practice address

825 Nicollet Mall Ste 1947
Minneapolis, MN 55402-2707

Phone

(952) 200-0215

Fax

(833) 499-1896

NPI assigned

Dec 12, 2020

Last updated

Nov 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Travis John Kierstead, PTNPI 1295022671

Title

Managing Member

Phone

(952) 807-7312

Specialties & licenses 3

Addresses

Locations

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.

• Travis Kierstead

  • Physical Therapist
  • Plymouth, MN
  • NPI 1295022671
  Authorized official Same address or phone

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

{
    "created_epoch": "1607731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1487240693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18872 42ND AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554463068",
            "telephone_number": "952-807-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL STE 1947",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022707",
            "telephone_number": "952-200-0215",
            "fax_number": "833-499-1896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18872 42nd Ave N",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MN",
            "postal_code": "554463068",
            "country_code": "US",
            "telephone_number": "952-807-7312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRESCOTT THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-12",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "KIERSTEAD",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "952-807-7312",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katy Lynn Prenevost, DPT
• Paul Prenevost, PHARMD
• Chad David Prescher
• Prescient, LLC (Calhoun Natural Medicine)
• Prescient, LLC (Medical Massage Specialists)
• Kari Prescott, DPM PA
• Nancy Prescott, LPCC
• Present Help Inc
• Megan Shafer Press, M.D.
• Joseph Christopher Presson, DO

• Physical Therapist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.