Shingle Creek Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SHINGLE CREEK PHYSICAL THERAPY LLC

Practice address

2781 Freeway Blvd Ste 160
Minneapolis, MN 55430-1765

Phone

(763) 515-8799

Fax

(763) 244-8021

NPI assigned

Mar 12, 2021

Organization subpart

No

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

Authorized official

Name

Jason Stadther, DC

Title

Owner

Phone

(763) 515-8799

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1689259541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2781 FREEWAY BLVD STE 160",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554301765",
            "telephone_number": "763-515-8799",
            "fax_number": "763-244-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2781 FREEWAY BLVD STE 160",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554301765",
            "telephone_number": "763-515-8799",
            "fax_number": "763-244-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINGLE CREEK PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "STADTHER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-515-8799",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Shilts, RN
• Katelynn Rose Shimanski
• Jennifer Louise Shimek, DDS
• Gilbert J Shin
• Michael Shin, M.D.
• Vanessa Shinwen, DDS
• Jennifer Shipstad, RN
• Shire Homecare Agency
• Shire Scientific, LLC
• Abukar Shire

• Physical Therapist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.