Active NPI
Northern Star Therapy LTD
- Physical Therapist
- Saint Cloud, MN
National Provider Identifier
1821031287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- NORTHERN STAR THERAPY LTD
- Practice address
- 251 County Road 120
Suite a
Saint Cloud, MN 56303 - Phone
- (320) 259-5429
- Fax
- (320) 240-8905
- NPI assigned
- Jun 14, 2006
- Last updated
- Mar 30, 2010
- 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
- Dan Weaver, PT
- Title
- Ceo
- Phone
- (320) 240-6955
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
251 County Road 120
Suite a
Saint Cloud, MN 56303
Mailing address
251 County Road 120
Suite a
Saint Cloud, MN 56303
Phone (320) 259-5429
National Provider Directory
National Provider DirectoryLocations
2395 Troop Dr
Unit 102
Sartell, MN 56377
Phone (320) 252-0233
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Physical Therapist
- Sartell, MN
- NPI 1073749255
-
- Physical Therapist
- Saint Cloud, MN
- NPI 1124193057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269907200000",
"number": "1821031287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 COUNTY ROAD 120",
"address_2": "SUITE A",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "56303",
"telephone_number": "320-259-5429",
"fax_number": "320-240-8905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 COUNTY ROAD 120",
"address_2": "SUITE A",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "56303",
"telephone_number": "320-259-5429",
"fax_number": "320-240-8905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN STAR THERAPY LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-14",
"last_updated": "2010-03-30",
"status": "A",
"authorized_official_last_name": "WEAVER",
"authorized_official_first_name": "DAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "320-240-6955",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, MN
- North Central Pathology, P.a.
- North Central Truck & Equipment
- Susan Lynn North
- Northern Star Therapy LTD
- Northern Star Therapy LTD
- Northland Anesthesia Services LLC
- Northpoint Counseling, LLC
- Northway Academy, Inc.
- Northway Academy, Inc.
- Northway Academy, Inc. (Northway Academy, Inc. St. Cloud South)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.