Radtke Physical Therapy Limited Partnership

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

RADTKE PHYSICAL THERAPY LIMITED PARTNERSHIP

Practice address

111 Golf Course Rd
Suite 2
Grand Rapids, MN 55744-3526

Phone

(218) 327-7257

Fax

(218) 327-1585

NPI assigned

Nov 6, 2006

Organization subpart

Yes

Parent organization

RADTKE PHYSICAL THERAPY LIMITED PARTNERSHIPAs reported in NPPES

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

Authorized official

Name

Richard Binstein, JD

Title

VP Authorized Official

Phone

(713) 297-7000

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Radtke Physical Therapy Limited Partnership

  • Physical Therapy Clinic/Center
  • Nashwauk, MN
  • NPI 1063502722

  O20060623000217

  Same enrollment
• Radtke Physical Therapy Limited Partnership

  • Physical Therapy Clinic/Center
  • Grand Rapids, MN
  • NPI 1235176108

  O20060623000217

  Same enrollment

Part of

Radtke Physical Therapy Limited Partnership

Locations

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1831268978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W SAM HOUSTON PKWY S",
            "address_2": "SUITE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770422447",
            "telephone_number": "713-297-7000",
            "fax_number": "713-297-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 GOLF COURSE RD",
            "address_2": "SUITE 2",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443526",
            "telephone_number": "218-327-7257",
            "fax_number": "218-327-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADTKE PHYSICAL THERAPY LIMITED PARTNERSHIP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RADTKE PHYSICAL THERAPY LIMITED PARTNERSHIP",
        "enumeration_date": "2006-11-06",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "BINSTEIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VP AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-297-7000",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Puckett, LPMED
• Amanda Puttonen
• Terri J. Radovich, MD
• Radtke Physical Therapy Limited Partnership
• Radtke Physical Therapy Limited Partnership
• Radtke Physical Therapy LTD. Partnership
• Meg E. Rahn, PA
• Anna M Rajala
• Roger A. Ralston, MD
• Ramsey Contractors LLC

• Physical Therapy Clinic/Center in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Physical Therapy Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.