Link Physical Therapy LLC

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Legal business name

LINK PHYSICAL THERAPY LLC

Practice address

8599 W Point Douglas Rd S Ste 200
Cottage Grove, MN 55016-2165

Phone

(651) 321-1234

Fax

(651) 321-4321

NPI assigned

Jun 11, 2019

Organization subpart

No

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

Authorized official

Name

Jay Wright, DPT

Title

Owner

Phone

(651) 321-1234

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1639738982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8599 W POINT DOUGLAS RD S STE 200",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550162165",
            "telephone_number": "651-321-1234",
            "fax_number": "651-321-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8599 W POINT DOUGLAS RD S STE 200",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550162165",
            "telephone_number": "651-321-1234",
            "fax_number": "651-321-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINK PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-321-1234",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.