Soleck Ventures Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

SOLECK VENTURES INC

Practice address

2680 County Road E E
White Bear Lake, MN 55110-4909

Phone

(651) 504-2212

Fax

(651) 262-0499

NPI assigned

Sep 9, 2025

Organization subpart

No

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

Authorized official

Name

Kyle Smaagard

Title

Owner

Phone

(612) 326-1171

Specialties & licenses 1

Addresses

Other names 1

• FYZICAL Therapy and Balance Centers Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandon J Phelps, DPT

  • Physical Therapist
  • El Centro, CA
  • NPI 1912371188

  MN

  Medicare reassignment NPD

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1821979642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 COUNTY ROAD E E",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551104909",
            "telephone_number": "651-504-2212",
            "fax_number": "651-262-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 COUNTY ROAD E E",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551104909",
            "telephone_number": "651-504-2212",
            "fax_number": "651-262-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLECK VENTURES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "SMAAGARD",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-326-1171"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYZICAL Therapy and Balance Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dennis A Smith, M.S.W.
• Michael C. Smith
• Snyders Drug
• Snyders Drug
• Tabitha Soderstrom, MS
• John Solomon, LPC
• Abigail Solorzano
• Sonder Grove Therapy, LLC
• Virginia Sorenson, LP LMFT
• Gissel Sosa

• Physical Medicine & Rehabilitation Physician in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Physical Medicine & Rehabilitation Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.