Active NPI
Christine A Reeb, PT
- Physical Therapist
- Waconia, MN
National Provider Identifier
1558464339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6637
- Practice address
- 560 S Maple St
Suite 200
Waconia, MN 55387-1733 - Phone
- (952) 442-2163
- Fax
- (952) 442-5903
- NPI assigned
- Sep 6, 2006
- Last updated
- Apr 22, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6637 | MN | Primary |
Addresses
Primary practice location
560 S Maple St
Suite 200
Waconia, MN 55387-1733
Mailing address
6465 Wayzata Blvd
Ste 900
St Louis Park, MN 55426-1728
Phone (952) 512-5600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6637 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Health Collaborative, PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271894400000",
"number": "1558464339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6465 WAYZATA BLVD",
"address_2": "STE 900",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554261728",
"telephone_number": "952-512-5600",
"fax_number": "952-512-5651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 S MAPLE ST",
"address_2": "SUITE 200",
"city": "WACONIA",
"state": "MN",
"postal_code": "553871733",
"telephone_number": "952-442-2163",
"fax_number": "952-442-5903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEB",
"first_name": "CHRISTINE",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2010-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "6637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waconia, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.