Liberty Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LIBERTY PHYSICAL THERAPY LLC

Practice address

272 Cimarron Rd
Apple Valley, MN 55124-4417

Phone

(715) 495-6918

NPI assigned

Aug 24, 2022

Organization subpart

No

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

Authorized official

Name

Nathan Prissel, DPTNPI 1811347800

Title

Ceo & Doctor of Physical Therapy

Phone

(715) 495-6918

Specialties & licenses 1

Addresses

Practitioners 1

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

• Nathan Prissel, PT, DPT

  • Orthopedic Physical Therapist
  • Northfield, MN
  • NPI 1811347800
  NPD Authorized official

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1497474274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 CIMARRON RD",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244417",
            "telephone_number": "715-495-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 CIMARRON RD",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244417",
            "telephone_number": "715-495-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "PRISSEL",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "CEO & DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "715-495-6918",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Lemke
• Sean Lewandowski
• Anna Lewis
• Leah Leyk, MA, LPCC
• Charles C Li, MD
• Kathleen J Lietzau, APCNS
• Lifespan Chiropractic PA
• Lifeway Chiropractic and Wellness LLC
• Limitless Minds Center
• Lisa J Lindner

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.