Orthopedic and Sports Rehabilitation Physical Therapy

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2365 Issued in MN

Legal business name

ORTHOPEDIC AND SPORTS REHABILITATION PHYSICAL THERAPY

Practice address

7872 Century Blvd
Chanhassen, MN 55317-8005

Phone

(952) 448-9088

NPI assigned

Aug 16, 2013

Last updated

Aug 16, 2013By 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

Benjamin Collin

Title

Athletic Trainer

Phone

(952) 512-2400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1821421546",
    "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"
        },
        {
            "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": "952-448-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC AND SPORTS REHABILITATION PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "COLLIN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "ATHLETIC TRAINER",
        "authorized_official_telephone_number": "952-512-2400"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "2365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oral and Maxillofacial Surgical Consultants PA
• Oral and Maxillofacial Surgical Consultants PA
• Andrea Cecibel Ortega Mora, MA
• Ortho Express LTD.
• Orthopedic & Sports Rehabiliation, LLC
• Orthotics Geriatrics, Inc.
• Sadiq Ahmed Osman
• Osr Physical Therapy Limited Partnership
• Osr Physical Therapy Limited Partnership
• Elizabeth A Ostroviak, LMFT

• Athletic Trainer in Chanhassen, MN
• Providers in Chanhassen, MN by specialty
• Athletic Trainer in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.