NPIMap

Organization Active NPI

Gentle Therapy Center LLC

  • Early Intervention Provider Agency
  • Prior Lake, MN
National Provider Identifier
1710854492
Registry record updated Oct 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
GENTLE THERAPY CENTER LLC
Practice address
17399 Ridgewood CT SE
Prior Lake, MN 55372-3954
Phone
(720) 808-3090
NPI assigned
Oct 18, 2025
Last updated
Oct 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2025

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

Authorized official

Name
Suhur Bashir MohamedNPI 1356026033
Title
Human Resources
Phone
(720) 808-3090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NU Primary

Addresses

Primary practice location

17399 Ridgewood CT SE
Prior Lake, MN 55372-3954

Mailing address

17399 Ridgewood CT SE
Prior Lake, MN 55372-3954
Phone (720) 808-3090

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1760745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760745600000",
    "number": "1710854492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17399 RIDGEWOOD CT SE",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553723954",
            "telephone_number": "720-808-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17399 RIDGEWOOD CT SE",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553723954",
            "telephone_number": "720-808-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-18",
        "last_updated": "2025-10-18",
        "certification_date": "2025-10-18",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "SUHUR",
        "authorized_official_middle_name": "BASHIR",
        "authorized_official_title_or_position": "HUMAN RESOURCES",
        "authorized_official_telephone_number": "720-808-3090"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prior Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2025; 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.