Organization Active NPI

Imr of MN., LLC

Doing business as Integrated Medical Rehabilitation of Mn, LLC

  • Physical Therapy Clinic/Center
  • Edina, MN
National Provider Identifier
1740283597
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
IMR OF MN., LLC
Doing business as
Integrated Medical Rehabilitation of Mn, LLC
Practice address
7250 France Ave S
Ste 111
Edina, MN 55435-4311
Phone
(952) 837-8991
Fax
(952) 837-8992
NPI assigned
May 24, 2005
Last updated
Jun 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Mr. Douglas Hanson
Title
President/Ceo
Phone
(952) 925-5687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

7250 France Ave S
Ste 111
Edina, MN 55435-4311

Mailing address

PO Box 390216
Edina, MN 55439-0216

Other names 1

  • Integrated Medical Rehabilitation of Mn, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Imr of MN LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7250 France Ave S
Ste 111
Edina, MN 55435
Phone (952) 835-0006

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1740283597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390216",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554390216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 FRANCE AVE S",
            "address_2": "STE 111",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354311",
            "telephone_number": "952-837-8991",
            "fax_number": "952-837-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMR OF MN., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "952-925-5687",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Medical Rehabilitation of Mn, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.