Organization Active NPI

Therex Rehab Specialists, LLC

  • Physical Therapist
  • Woodbury, MN
National Provider Identifier
1629004692
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THEREX REHAB SPECIALISTS, LLC
Practice address
670 Commerce Dr Ste 140
Woodbury, MN 55125-9290
Phone
(651) 501-2010
Fax
(651) 436-6775
NPI assigned
Jun 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Peter Czachor
Title
President
Phone
(763) 443-7322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

670 Commerce Dr Ste 140
Woodbury, MN 55125-9290

Mailing address

670 Commerce Dr Ste 140
Woodbury, MN 55125-9290
Phone (651) 501-2010

Other practice location 1

5227 W 73rd St
Edina, MN 55439
Phone (952) 207-2997

Other identifiers 2

IdentifierTypeStateIssuer
033M9THOtherMNBCBS OF MN
139319700MedicaidMN

Other names 2

  • Fyzical Therapy and Balance Centers Edina Doing business as
  • Fyzical Therapy and Balance Centers Woodbury Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040315000179 MN Part B Supplier - Clinic/Group Practice 5698664910 Receives reassigned benefits from 3 practitioners
Practice locations: Edina, MN; Woodbury, MN

National Provider Directory

National Provider Directory

Locations

5227 W 73rd St
Edina, MN 55439
Phone (651) 501-2010

2145 Woodlane Dr
Ste 102
Woodbury, MN 55125
Phone (651) 501-2010

670 Commerce Dr
Ste 140
Woodbury, MN 55125
Phone (651) 501-2010

670 Commerce Dr
Ste 130
Woodbury, MN 55125
Phone (651) 501-2010

1818 Wooddale Dr
Ste 104
Woodbury, MN 55125
Phone (651) 501-2010

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1629004692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 COMMERCE DR STE 140",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551259290",
            "telephone_number": "651-501-2010",
            "fax_number": "651-436-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 COMMERCE DR STE 140",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551259290",
            "telephone_number": "651-501-2010",
            "fax_number": "651-436-6775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5227 W 73rd St",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "55439",
            "country_code": "US",
            "telephone_number": "952-207-2997",
            "fax_number": "612-677-3401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THEREX REHAB SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "CZACHOR",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-443-7322"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "033M9TH",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139319700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fyzical Therapy and Balance Centers Edina",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fyzical Therapy and Balance Centers Woodbury",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.