Max Well Rehabilitation LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MAX WELL REHABILITATION LLC

Practice address

8690 Eagle Creek Pkwy
Savage, MN 55378-1284

Phone

(952) 440-5906

Fax

(952) 487-0707

NPI assigned

Nov 24, 2009

Organization subpart

No

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

Authorized official

Name

Jeffrey L Kallberg, PT

Title

Owner

Phone

(952) 412-6207

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1568790889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8690 EAGLE CREEK PKWY",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553781284",
            "telephone_number": "952-440-5906",
            "fax_number": "952-487-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8690 EAGLE CREEK PKWY",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553781284",
            "telephone_number": "952-440-5906",
            "fax_number": "952-487-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX WELL REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "KALLBERG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-412-6207",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMN",
            "identifier": "018K0MA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Eileen Mains, LICSW
• Christina J Manders, D.O.
• Ravi Kiran Mara, DDS
• Kai Taylor Mason, MA, LADC, LPCC
• Amy Matiak, PHARMD
• Ceciley Jeanne Maxa, DC
• Mary McCarney
• Kailey McCollough
• Melissa Ann McNellis, RN
• Meadowood Senior Living LLC

• Physical Therapist in Savage, MN
• Providers in Savage, MN by specialty
• Physical Therapist in Minnesota

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

Verify at the official NPI Registry.