Active NPI
Rhivive Physical Therapy
- Physical Therapy Clinic/Center
- White Bear Lake, MN
National Provider Identifier
1558099747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rhiannon M Legarde, DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Physical Therapist
- Grantsburg, WI
- NPI 1700331501
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.