Organization Active NPI

Life Rehab Services, Inc.

  • Physical Therapist
  • Wayzata, MN
National Provider Identifier
1760589998
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LIFE REHAB SERVICES, INC.
Practice address
600 Twelve Oaks Center Dr
#638
Wayzata, MN 55391-4501
NPI assigned
Sep 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael Schwahn
Title
Ceo
Phone
(952) 476-0224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X MN Primary

Addresses

Primary practice location

600 Twelve Oaks Center Dr
#638
Wayzata, MN 55391-4501

Mailing address

600 Twelve Oaks Center Dr.
#638
Wayzata, MN 55391

National Provider Directory

National Provider Directory

Locations

600 Twelve Oaks Center Dr
Ste 638
Wayzata, MN 55391
Phone (952) 476-0224

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760589998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 TWELVE OAKS CENTER DR.",
            "address_2": "#638",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "55391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 TWELVE OAKS CENTER DR",
            "address_2": "#638",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553914501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE REHAB SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHWAHN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "952-476-0224"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayzata, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.