Haven Physical Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

7201 Issued in MN

Legal business name

HAVEN PHYSICAL THERAPY, INC.

Practice address

832 1St St Ste 140
Nashwauk, MN 55769-1245

Phone

(218) 885-1282

Fax

(218) 885-1471

NPI assigned

Jan 24, 2013

Last updated

Jan 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Stuart Thomas Leerssen, PTNPI 1982649976

Title

Owner / Director

Phone

(218) 885-1282

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stuart Thomas Leerssen, PT

  • Physical Therapist
  • Nashwauk, MN
  • NPI 1982649976
  Authorized official Same address or phone

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1669710737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 1ST ST STE 140",
            "city": "NASHWAUK",
            "state": "MN",
            "postal_code": "557691245",
            "telephone_number": "218-885-1282",
            "fax_number": "218-885-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 1ST ST STE 140",
            "city": "NASHWAUK",
            "state": "MN",
            "postal_code": "557691245",
            "telephone_number": "218-885-1282",
            "fax_number": "218-885-1471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "LEERSSEN",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER / DIRECTOR",
        "authorized_official_telephone_number": "218-885-1282",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MN",
            "license": "7201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadine Lynn Blixt, PTA
• Michelle Carroll, MASSAGE THERAPIST
• City of Nashwauk (Nashwauk Ambulance Service)
• Melodee Gilbertson, PSY D.
• Curtiss A Hautala, R.PH.
• Ind School Dist 319
• Melissa Marie Kubena, PTA
• Laura Whitney Psychological Services
• Stuart Thomas Leerssen, PT
• Majewski Enterprises Inc (Majewski Drug)

• Physical Therapy Clinic/Center in Nashwauk, MN
• Providers in Nashwauk, 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 Jan 24, 2013; 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.