NPIMap

Organization Active NPI

Minnesota Therapy Center Inc

  • Early Intervention Provider Agency
  • Saint Paul, MN
National Provider Identifier
1831701234
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
MINNESOTA THERAPY CENTER INC
Practice address
1410 Energy Park Dr Ste 11
Saint Paul, MN 55108-5249
Phone
(612) 452-5550
Fax
(763) 210-4639
NPI assigned
Aug 18, 2020
Last updated
Aug 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Mr. Abdulkadir Mohamed AminNPI 1831956903
Title
Owner
Phone
(612) 452-5550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NU Primary

Addresses

Primary practice location

1410 Energy Park Dr Ste 11
Saint Paul, MN 55108-5249

Mailing address

1410 Energy Park Dr Ste 11
Saint Paul, MN 55108-5249
Phone (612) 452-5550

National Provider Directory

National Provider Directory

Locations

2104 Park Ave
Ste 111
Minneapolis, MN 55404
Phone (612) 986-3923

1410 Energy Park Dr
Ste 11
Saint Paul, MN 55108
Phone (612) 452-5550

Practitioners & affiliated clinicians

Practitioners 112

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.

View all 112

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1831701234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 ENERGY PARK DR STE 11",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551085249",
            "telephone_number": "612-452-5550",
            "fax_number": "763-210-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 ENERGY PARK DR STE 11",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551085249",
            "telephone_number": "612-452-5550",
            "fax_number": "763-210-4639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA THERAPY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "ABDULKADIR",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-452-5550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.