Advantage Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6361 Issued in MN

Legal business name

ADVANTAGE THERAPY

Practice address

227 McKinley Ave
Eveleth, MN 55734-1606

Phone

(218) 780-4554

Fax

(218) 744-9631

NPI assigned

Aug 9, 2017

Last updated

Aug 9, 2017By 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. Chad Alan Baribeau, PTNPI 1508185463

Title

President/Physical Therapist

Phone

(218) 780-4554

Specialties & licenses 2

Addresses

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.

• Chad Alan Baribeau, PT

  • Physical Therapist
  • Aurora, MN
  • NPI 1508185463
  NPD Authorized official

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502236800000",
    "number": "1700301884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 MCKINLEY AVE",
            "city": "EVELETH",
            "state": "MN",
            "postal_code": "557341606",
            "telephone_number": "218-780-4554",
            "fax_number": "218-744-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 MCKINLEY AVE",
            "city": "EVELETH",
            "state": "MN",
            "postal_code": "557341606",
            "telephone_number": "218-780-4554",
            "fax_number": "218-744-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-09",
        "last_updated": "2017-08-09",
        "status": "A",
        "authorized_official_last_name": "BARIBEAU",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "218-780-4554",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "6361",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "101012",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janis Anne Allen, LICSW
• Arrowhead Senior Living Community (St Raphael's Health & Rehabilitation Center)
• Bio-Medical Applications of Minnesota, Inc. (Fresenius Medical Care Eveleth)
• Black Opal Wellness PLLC
• City of Eveleth

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; 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.