NPIMap

Organization Active NPI

Viverant, LLC

  • Physical Therapist
  • Oakdale, MN
National Provider Identifier
1760418164
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
VIVERANT, LLC
Practice address
7815 3Rd St N
Ste 203
Oakdale, MN 55128-5447
Phone
(952) 835-4512
Fax
(518) 677-1149
NPI assigned
Jun 25, 2006
Last updated
Jun 1, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
VIVERANT PT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Authorized official

Name
Dennis Cernohous
Title
Business Partner
Phone
(651) 283-6364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

7815 3Rd St N
Ste 203
Oakdale, MN 55128-5447

Mailing address

7815 3Rd St N
Ste 203
Oakdale, MN 55128-5447
Phone (952) 835-4512

National Provider Directory

National Provider Directory
Tax ID family
Viverant LLC12 organizations share this tax ID, including this one
Part of
Viverant PT LLC

Other organizations with this tax ID 11

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

Locations

56 Nathan Ln N
Plymouth, MN 55441
Phone (763) 746-0907

514 Saint Peter St
Ste 210
Saint Paul, MN 55102
Phone (651) 209-6144

7815 3rd St N
Ste 203
Saint Paul, MN 55128
Phone (952) 835-1779

4465 White Bear Pkwy
White Bear Lk, MN 55110
Phone (612) 653-0062

17325 Bell North Dr
#2B
Schertz, TX 78154

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590969600000",
    "number": "1760418164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7815 3RD ST N",
            "address_2": "STE 203",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285447",
            "telephone_number": "952-835-4512",
            "fax_number": "518-677-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7815 3RD ST N",
            "address_2": "STE 203",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285447",
            "telephone_number": "952-835-4512",
            "fax_number": "518-677-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVERANT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIVERANT PT LLC",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A",
        "authorized_official_last_name": "CERNOHOUS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "BUSINESS PARTNER",
        "authorized_official_telephone_number": "651-283-6364"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, MN

Sources for this page

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

Verify at the official NPI Registry.