Active NPI
Realief Medical P.a.
- Multi-Specialty Clinic/Center
- St Louis Park, MN
National Provider Identifier
1508102500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- License
- 24538
- Legal business name
- REALIEF MEDICAL P.A.
- Practice address
- 1660 Highway 100 S
Suite 229
St Louis Park, MN 55416-1529 - Phone
- (952) 456-6160
- Fax
- (952) 456-6184
- NPI assigned
- Dec 19, 2012
- 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
- Jessica Haley
- Title
- Operations Manager
- Phone
- (952) 456-6160
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | 24538 | MN | Primary |
Addresses
Primary practice location
1660 Highway 100 S
Suite 229
St Louis Park, MN 55416-1529
Mailing address
1660 Highway 100 S
Suite 229
St Louis Park, MN 55416-1529
Phone (952) 456-6160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C09271 | Other | MN | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryLocations
1660 Highway 100 S
Ste 229
St Louis Park, MN 55416
Phone (952) 456-6160
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
- St. Louis Park, MN
- NPI 1841540234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378771200000",
"number": "1508102500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 HIGHWAY 100 S",
"address_2": "SUITE 229",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554161529",
"telephone_number": "952-456-6160",
"fax_number": "952-456-6184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 HIGHWAY 100 S",
"address_2": "SUITE 229",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554161529",
"telephone_number": "952-456-6160",
"fax_number": "952-456-6184"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REALIEF MEDICAL P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-19",
"last_updated": "2013-09-10",
"status": "A",
"authorized_official_last_name": "HALEY",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "952-456-6160"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "MN",
"license": "24538",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "C09271",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.