Minnesota Therapy & Balance Center LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MINNESOTA THERAPY & BALANCE CENTER LLC

Practice address

12805 Highway 55 Ste 135
Plymouth, MN 55441-3859

Phone

(763) 465-6822

NPI assigned

Oct 26, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Karen Leigh HansenNPI 1801099742

Title

Owner

Phone

(763) 465-6822

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

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

• Karen Hansen, DPT

  • Physical Therapist
  • Plymouth, MN
  • NPI 1801099742
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1639896913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12805 HIGHWAY 55 STE 155",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554413859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12805 HIGHWAY 55 STE 135",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554413859",
            "telephone_number": "763-465-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA THERAPY & BALANCE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-465-6822",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minnesota Oral & Maxillofacial Surgery, P.a.
• Minnesota Orthodontics and Dentofacial Orthopedics PA
• Minnesota Psychological Resources
• Minnesota Recuperative Care LLC
• Minnesota Sleep and Wellness LLC
• Minnesota Vision Outreach, Inc
• Minnesotawest Home Healthcare Inc
• Minnetonka Pediatric Therapy Center, LLC
• Miracle Ear, Texas Inc.
• Haley Miskowiec, RD

• Physical Therapy Clinic/Center in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Physical Therapy Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.