Organization Active NPI

Physical Therapy Solutions, Inc

  • Orthopedic Physical Therapist
  • Burnsville, MN
National Provider Identifier
1700927191
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
4862 Issued in MN
Legal business name
PHYSICAL THERAPY SOLUTIONS, INC
Practice address
13786 Frontier CT
Burnsville, MN 55337-4831
Phone
(952) 432-8677
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Authorized official

Name
Brenda Garrett Johnson, PT
Title
Owner
Phone
(952) 432-8677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 4862 MN Primary

Addresses

Primary practice location

13786 Frontier CT
Burnsville, MN 55337-4831

Mailing address

13786 Frontier CT
Burnsville, MN 55337
UM
Phone (952) 432-8677

Other identifiers 3

IdentifierTypeStateIssuer
017N3PHOtherMNBCBS OF MN
048192000MedicaidMN
6405396OtherMNMEDICA

National Provider Directory

National Provider Directory

Locations

13786 Frontier Ct
Ste 11
Burnsville, MN 55337
Phone (952) 432-8677

13786 Frontier Ct
Ste 110
Burnsville, MN 55337
Phone (952) 432-8677

13786 Frontier Ct
Burnsville, MN 55337
Phone (952) 432-8677

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1700927191",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "13786 FRONTIER CT",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "55337",
            "telephone_number": "952-432-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13786 FRONTIER CT",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374831",
            "telephone_number": "952-432-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "GARRETT JOHNSON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-432-8677",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MN",
            "license": "4862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "017N3PH",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048192000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "6405396",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

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

Verify at the official NPI Registry.