PHS Woodbury, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

357275 Issued in MN

Legal business name

PHS WOODBURY, INC

Practice address

8725 Promenade LN
Woodbury, MN 55125-9622

Phone

(651) 264-3200

NPI assigned

Feb 14, 2014

Organization subpart

No

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

Authorized official

Name

Jon Tranby

Title

Payer Relations Director

Phone

(651) 631-6102

Specialties & licenses 1

Addresses

Other names 1

• Stonecrest Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1588088322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 HAMLINE AVE N",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551137127",
            "telephone_number": "651-631-6432",
            "fax_number": "651-631-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8725 PROMENADE LN",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551259622",
            "telephone_number": "651-264-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHS WOODBURY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-14",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "TRANBY",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "PAYER RELATIONS DIRECTOR",
        "authorized_official_telephone_number": "651-631-6102"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "357275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stonecrest",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Denise J Petrich
• Jordan Petryniec
• Pamela Jean Pfromm
• Elizabeth Pharr
• Chloe Johnson Philion, OTR/L
• John S Piatkowski, MD
• Rachael Faye Pickett Theel, FNP-C
• Alex Pickhinke, PT, DPT
• Jordan Edel Pieper
• Andrew Pierce

• Assisted Living Facility in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.