Organization Active NPI

Rhivive Physical Therapy

  • Physical Therapy Clinic/Center
  • White Bear Lake, MN
National Provider Identifier
1558099747
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RHIVIVE PHYSICAL THERAPY
Practice address
1011 Meadowlands Dr Ste 10
White Bear Lake, MN 55127-2306
Phone
(651) 894-4585
Fax
(612) 884-9489
NPI assigned
Aug 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
Rhiannon M Legarde, DPTNPI 1700331501
Title
Owner and Physical Therapist
Phone
(651) 894-4585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1011 Meadowlands Dr Ste 10
White Bear Lake, MN 55127-2306

Mailing address

4399 Snail Lake CT E
Shoreview, MN 55126-2124
Phone (651) 894-4585

National Provider Directory

National Provider Directory

Locations

1011 Meadowlands Dr
Ste 10
White Bear Lake, MN 55127
Phone (651) 894-4585

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1558099747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4399 SNAIL LAKE CT E",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551262124",
            "telephone_number": "651-894-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 MEADOWLANDS DR STE 10",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551272306",
            "telephone_number": "651-894-4585",
            "fax_number": "612-884-9489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHIVIVE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "LEGARDE",
        "authorized_official_first_name": "RHIANNON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER AND PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "651-894-4585",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Bear Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.