NPIMap

Organization Active NPI

Rebound Physical Therapy, Inc.

  • Physical Therapist
  • Minneapolis, MN
National Provider Identifier
1689621419
Registry record updated Jul 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2626 Issued in MN
Legal business name
REBOUND PHYSICAL THERAPY, INC.
Practice address
2700 East Lake Street
Suite 2450
Minneapolis, MN 55406-2690
Phone
(612) 436-0777
Fax
(612) 436-0779
NPI assigned
May 27, 2006
Last updated
Jul 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2013

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

Authorized official

Name
Mr. Mark T Rattray, P.T.NPI 1699743757
Title
Ceo
Phone
(612) 436-0777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2626 MN Primary

Addresses

Primary practice location

2700 East Lake Street
Suite 2450
Minneapolis, MN 55406-2690

Mailing address

2700 East Lake Street
Suite 2450
Minneapolis, MN 55406-2690
Phone (612) 436-0777

Other identifiers 1

IdentifierTypeStateIssuer
302345100MedicaidMN

National Provider Directory

National Provider Directory

Locations

2700 E Lake St
Ste 2450
Minneapolis, MN 55406
Phone (612) 436-0777

15650 36th Ave N
Ste 140
Plymouth, MN 55446
Phone (763) 546-0003

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374796800000",
    "number": "1689621419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 EAST LAKE STREET",
            "address_2": "SUITE 2450",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062690",
            "telephone_number": "612-436-0777",
            "fax_number": "612-436-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 EAST LAKE STREET",
            "address_2": "SUITE 2450",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062690",
            "telephone_number": "612-436-0777",
            "fax_number": "612-436-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBOUND PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2013-07-26",
        "status": "A",
        "authorized_official_last_name": "RATTRAY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-436-0777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "2626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302345100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.