Orthopedic & Sports Rehabiliation, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

6935 Issued in MN

Legal business name

ORTHOPEDIC & SPORTS REHABILIATION, LLC

Practice address

7872 Century Blvd
Chanhassen, MN 55317-8005

Phone

(952) 448-9081

Fax

(952) 448-9088

NPI assigned

May 16, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rusty WallmanNPI 1508969551

Title

Owner

Phone

(952) 448-9081

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Rusty Wallman, PT

  • Sports Physical Therapist
  • Chanhassen, MN
  • NPI 1508969551
  Authorized official Same address or phone
• Lauren Shakon, LAT

  • Athletic Trainer
  • Chaska, MN
  • NPI 1235788704
  NPD
• Ethan Meyer

  • Athletic Trainer
  • Chaska, MN
  • NPI 1235686742
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821205394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7872 CENTURY BLVD",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553178005",
            "telephone_number": "952-448-9081",
            "fax_number": "952-448-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7872 CENTURY BLVD",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553178005",
            "telephone_number": "952-448-9081",
            "fax_number": "952-448-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC & SPORTS REHABILIATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALLMAN",
        "authorized_official_first_name": "RUSTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-448-9081"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MN",
            "license": "6935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optage Inc (Presbyterian Homes and Services Rehabilitation)
• Oral and Maxillofacial Surgical Consultants PA
• Oral and Maxillofacial Surgical Consultants PA
• Andrea Cecibel Ortega Mora, MA
• Ortho Express LTD.
• Orthopedic and Sports Rehabilitation Physical Therapy
• Orthotics Geriatrics, Inc.
• Sadiq Ahmed Osman
• Osr Physical Therapy Limited Partnership
• Osr Physical Therapy Limited Partnership

• Specialist in Chanhassen, MN
• Providers in Chanhassen, MN by specialty
• Specialist in Minnesota

• 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.