Organization Active NPI

Fillmore County Physical Therapy Services, Inc

  • Physical Therapy Clinic/Center
  • Preston, MN
National Provider Identifier
1619249133
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
8021 Issued in MN
Legal business name
FILLMORE COUNTY PHYSICAL THERAPY SERVICES, INC
Practice address
212 Fillmore St W
Preston, MN 55965-1226
Phone
(507) 867-8007
Fax
(507) 867-8018
NPI assigned
Jan 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Authorized official

Name
Lisa Stensrud, DPT
Title
Owner
Phone
(507) 867-8007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 8021 MN Primary

Addresses

Primary practice location

212 Fillmore St W
Preston, MN 55965-1226

Mailing address

212 Fillmore St W
Preston, MN 55965-1226
Phone (507) 867-8007

Other identifiers 1

IdentifierTypeStateIssuer
C09048OtherMNMEDICARE PTAN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1619249133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 FILLMORE ST W",
            "city": "PRESTON",
            "state": "MN",
            "postal_code": "559651226",
            "telephone_number": "507-867-8007",
            "fax_number": "507-867-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 FILLMORE ST W",
            "city": "PRESTON",
            "state": "MN",
            "postal_code": "559651226",
            "telephone_number": "507-867-8007",
            "fax_number": "507-867-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FILLMORE COUNTY PHYSICAL THERAPY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "STENSRUD",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-867-8007",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MN",
            "license": "8021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C09048",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Preston, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.