Life Force-Cervella, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

LIFE FORCE-CERVELLA, INC

Practice address

3555 Plymouth Blvd
Suite 218
Plymouth, MN 55447-1389

Phone

(763) 694-7000

Fax

(763) 694-7116

NPI assigned

Jul 27, 2007

Last updated

Jul 27, 2007By 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

Mr. James E Williams

Title

Administrator

Phone

(763) 694-7000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1538359302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 PLYMOUTH BLVD",
            "address_2": "SUITE 218",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554471389",
            "telephone_number": "763-694-7000",
            "fax_number": "763-694-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 PLYMOUTH BLVD",
            "address_2": "SUITE 218",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554471389",
            "telephone_number": "763-694-7000",
            "fax_number": "763-694-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE FORCE-CERVELLA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "763-694-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janova Lerdal, M. ED., CCC-SLP
• Keena Yue Leung, MD
• Cecelyn Lewis
• Leah Marie Lewis, LICSW
• Amy Jo Lien
• Life Skills Institute & Clinic, Inc.
• Lifeforce Therapies
• Lifetime Wellness Center, P.a.
• Elissa Light, MS SLP CCC
• Lighthouse Chiropractic, PA

• Physical Therapy Clinic/Center in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Physical Therapy Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.