NPIMap

Organization Active NPI

Magnitude Therapy Services LLC

  • Early Intervention Provider Agency
  • Eden Prairie, MN
National Provider Identifier
1609618925
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
MAGNITUDE THERAPY SERVICES LLC
Practice address
6520 Edenvale Blvd Ste 112
Eden Prairie, MN 55346-2564
Phone
(612) 261-9312
Fax
(612) 500-4700
NPI assigned
Jun 7, 2024
Last updated
Mar 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Authorized official

Name
Abdirizak Ali IsmailNPI 1710789219
Title
Ceo
Phone
(612) 261-9312

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
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

6520 Edenvale Blvd Ste 112
Eden Prairie, MN 55346-2564

Mailing address

6520 Edenvale Blvd Ste 112
Eden Prairie, MN 55346-2564
Phone (612) 261-9312

National Provider Directory

National Provider Directory

Locations

1000 E 146th St
Ste 105
Burnsville, MN 55337
Phone (612) 407-1769

6520 Edenvale Blvd
Ste 112
Eden Prairie, MN 55346
Phone (612) 261-9312

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1609618925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 EDENVALE BLVD STE 112",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553462564",
            "telephone_number": "612-261-9312",
            "fax_number": "612-500-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 EDENVALE BLVD STE 112",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553462564",
            "telephone_number": "612-261-9312",
            "fax_number": "612-500-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNITUDE THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-07",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "ABDIRIZAK",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-261-9312"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.