Rehabilitation Services of Golden Valley, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

9453 Issued in MN

Legal business name

REHABILITATION SERVICES OF GOLDEN VALLEY, INC.

Practice address

800 Boone Ave N
Golden Valley, MN 55427-4468

Phone

(612) 986-2084

NPI assigned

Nov 26, 2014

Organization subpart

No

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

Authorized official

Name

Mr. David Olshansky

Title

Shareholder

Phone

(612) 986-2084

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew G Waffensmith, PTA

  • Physical Therapy Assistant
  • Deerwood, MN
  • NPI 1275856353
  NPD

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1720485394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BOONE AVE N",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BOONE AVE N",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274468",
            "telephone_number": "612-986-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION SERVICES OF GOLDEN VALLEY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "OLSHANSKY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "612-986-2084",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MN",
            "license": "9453",
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "MN",
            "license": "9453",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Recoverpoint Care LLC
• Susan A Redepenning, OTRL
• Marna Reed, LP
• Suzanne Marie Reedy, LP
• Regency Hospital of Minneapolis, LLC
• Carmel M Rehnelt, OTR L
• Michael Allen Reiff
• Hannah Reimen, DO
• Reliance Transit LLC
• John Renelus, D.C.

• Physical Therapy Clinic/Center in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Physical Therapy Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.