Active NPI
Orthorehab Specialists, Inc
- Physical Therapist
- Eden Prairie, MN
National Provider Identifier
1669675682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- ORTHOREHAB SPECIALISTS, INC
- Practice address
- 800 Prairie Center Dr
Suite 230
Eden Prairie, MN 55344-7328 - Phone
- (952) 746-5858
- Fax
- (952) 746-5859
- NPI assigned
- Jun 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark W Siewert, PT
- Title
- Owner
- Phone
- (612) 339-2041
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | MN | Primary |
Addresses
Primary practice location
800 Prairie Center Dr
Suite 230
Eden Prairie, MN 55344-7328
Mailing address
800 Prairie Center Dr
Suite 230
Eden Prairie, MN 55344-7328
Phone (952) 746-5858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8B813OR | Other | MN | BC GROUP PROV # |
National Provider Directory
National Provider Directory- Tax ID family
- Orthorehab Specialists Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Edina, MN
- NPI 1750584777
-
- Physical Therapist
- Minneapolis, MN
- NPI 1396754206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280793600000",
"number": "1669675682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 PRAIRIE CENTER DR",
"address_2": "SUITE 230",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553447328",
"telephone_number": "952-746-5858",
"fax_number": "952-746-5859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 PRAIRIE CENTER DR",
"address_2": "SUITE 230",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553447328",
"telephone_number": "952-746-5858",
"fax_number": "952-746-5859"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOREHAB SPECIALISTS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-07",
"last_updated": "2010-08-03",
"status": "A",
"authorized_official_last_name": "SIEWERT",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-339-2041",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC GROUP PROV #",
"identifier": "8B813OR",
"state": "MN"
}
],
"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 Aug 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.