Park Avenue Therapies Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

9079 Issued in MN

Legal business name

PARK AVENUE THERAPIES INC

Practice address

1204 Cloquet Ave
Cloquet, MN 55720-1622

Phone

(218) 878-0805

Fax

(218) 879-3599

NPI assigned

Sep 14, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Seth Adam Stemmer, DPT

Title

Physical Therapist

Phone

(763) 486-0054

Specialties & licenses 1

Addresses

Tax ID family

Park Avenue Therapies2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Park Avenue Therapies

  • Physical Therapist
  • Cloquet, MN
  • NPI 1437127834
  NPD tax ID

Practitioners 1

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

• Rhonda J Johnson, PT

  • Physical Therapist
  • Cloquet, MN
  • NPI 1861452724
  NPD

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1750631982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 CLOQUET AVE",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201622",
            "telephone_number": "218-878-0805",
            "fax_number": "218-879-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 CLOQUET AVE",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201622",
            "telephone_number": "218-878-0805",
            "fax_number": "218-879-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE THERAPIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "STEMMER",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "763-486-0054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MN",
            "license": "9079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brigid Mary Pajunen, M.D.
• Daniel M Palmquist, M.D.
• Glen David Palokangas, APRN, CRNA
• Virginia Mary Pappas, LPCC
• Park Avenue Therapies
• Karin K Parsons, PA
• Bryan Paulson, PHARMD
• Casey Peak
• Kate Ellen Campion Pederson, PA-C
• Kaylee Peil, RN

• Physical Therapy Clinic/Center in Cloquet, MN
• Providers in Cloquet, 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 Sep 14, 2012; 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.