Organization Active NPI

Comprehensive Rehab Centers of MN

  • Rehabilitation Chiropractor
  • Minneapolis, MN
National Provider Identifier
1508018490
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
4690 Issued in MN
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

Updated by the provider on Oct 22, 2008

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)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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

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.

Verify at the official NPI Registry.