Organization Active NPI

Horizon Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1821547266
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
0849 Issued in MN
Legal business name
HORIZON PHYSICAL THERAPY, LLC
Practice address
2700 E 28TH St
Minneapolis, MN 55406-2990
Phone
(612) 345-7769
Fax
(612) 367-4285
NPI assigned
Sep 27, 2016
Last updated
Sep 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Authorized official

Name
Hassan Ally Rage
Title
Director
Phone
(612) 345-7769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 0849 MN Primary

Addresses

Primary practice location

2700 E 28TH St
Minneapolis, MN 55406-2990

Mailing address

2700 E 28TH St
Minneapolis, MN 55406-2990
Phone (612) 345-7769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161220001092 MN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2466733027 Receives reassigned benefits from 1 practitioner
Practice locations: Minneapolis, MN

National Provider Directory

National Provider Directory

Locations

2700 E 28th St
Minneapolis, MN 55406
Phone (612) 345-7769

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.

NPI Registry JSON

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1821547266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 E 28TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062990",
            "telephone_number": "612-345-7769",
            "fax_number": "612-367-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E 28TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062990",
            "telephone_number": "612-345-7769",
            "fax_number": "612-367-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "RAGE",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_middle_name": "ALLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-345-7769"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MN",
            "license": "0849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.