Active NPI
Frikken Fitness, L.L.C.
- Physical Therapy Clinic/Center
- Brooklyn Park, MN
National Provider Identifier
1740807510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- FRIKKEN FITNESS, L.L.C.
- Practice address
- 8507 Jefferson LN N
Brooklyn Park, MN 55445-2117 - Phone
- (320) 282-0308
- NPI assigned
- Jun 28, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jon Frikken, DPT
- Title
- Owner/Physical Therapist
- Phone
- (320) 282-0308
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
8507 Jefferson LN N
Brooklyn Park, MN 55445-2117
Mailing address
8300 Zane Ave N Apt 101
Brooklyn Park, MN 55443-2143
Phone (320) 282-0308
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11870 | Other | MN | DPT LICENSE |
National Provider Directory
National Provider DirectoryLocations
8507 Jefferson Ln N
Brooklyn Park, MN 55445
Phone (320) 282-0308
11468 Marketplace Dr N
#P
Champlin, MN 55316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593302400000",
"number": "1740807510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8300 ZANE AVE N APT 101",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554432143",
"telephone_number": "320-282-0308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8507 JEFFERSON LN N",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554452117",
"telephone_number": "320-282-0308"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRIKKEN FITNESS, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-28",
"last_updated": "2020-06-28",
"certification_date": "2020-06-28",
"status": "A",
"authorized_official_last_name": "FRIKKEN",
"authorized_official_first_name": "JON",
"authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "320-282-0308",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPT LICENSE",
"identifier": "11870",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.