Cortex Rehabilitation LLC

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

Legal business name

CORTEX REHABILITATION LLC

Practice address

11658 Fountains Dr
Maple Grove, MN 55369-7195

Phone

(612) 284-1970

NPI assigned

Aug 24, 2021

Last updated

Aug 24, 2021By 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

Sarah Elizabeth DueffertNPI 1548713761

Title

Owner

Phone

(605) 380-1237

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Sarah Elizabeth Dueffert, PT, DPT

  • Physical Therapist
  • Minnetonka, MN
  • NPI 1548713761
  NPD Authorized official

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1821765306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 MEADOWLARK LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553696043",
            "telephone_number": "605-380-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11658 FOUNTAINS DR",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697195",
            "telephone_number": "612-284-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORTEX REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "DUEFFERT",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-380-1237"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Corhouse, LADC, LPCC
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• Coulson Chiropractic, LLC (Maple Grove Chiropractic)
• Andrew Robert Coulson, D.C.

• Neurology Physical Therapist in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Neurology Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.