Active NPI
Comprehensive Rehab Centers of MN
- Rehabilitation Chiropractor
- Minneapolis, MN
National Provider Identifier
1508018490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 4690
- Legal business name
- COMPREHENSIVE REHAB CENTERS OF MN
- Practice address
- 133 W Lake St
Minneapolis, MN 55408-3119 - Phone
- (612) 823-2020
- Fax
- (612) 823-1919
- NPI assigned
- Oct 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Preston Forthun, DC, ATC
- Title
- Chiropractor/Athletic Trainer
- Phone
- (612) 823-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 4690 | MN | Primary |
Addresses
Primary practice location
133 W Lake St
Minneapolis, MN 55408-3119
Mailing address
133 W Lake St
Minneapolis, MN 55408-3119
National Provider Directory
National Provider DirectoryLocations
133 W Lake St
Minneapolis, MN 55408
Phone (612) 315-5687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224633600000",
"number": "1508018490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 W LAKE ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554083119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 W LAKE ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554083119",
"telephone_number": "612-823-2020",
"fax_number": "612-823-1919"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE REHAB CENTERS OF MN",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-22",
"last_updated": "2008-10-22",
"status": "A",
"authorized_official_last_name": "FORTHUN",
"authorized_official_first_name": "PRESTON",
"authorized_official_title_or_position": "CHIROPRACTOR/ATHLETIC TRAINER",
"authorized_official_telephone_number": "612-823-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC, ATC"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "MN",
"license": "4690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
- Compassionate Nurses Network LLC
- Complete Home Health Services Pca
- Complex Rehab LLC
- Comprehensive Healthcare Service Inc
- Comprehensive Home Care, Inc
- Comprehensive Rehabilitation Centers of Minnesota
- Comprehensive Rehabilitation Clinics of MN, P.a.
- Carly A Compton, APRN, CNP
- Gary Steven Compton, L.AC.
- Randall Conaway
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.