Midwest Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MIDWEST PHYSICAL THERAPY LLC

Practice address

14440 28TH PL N Ste 200
Plymouth, MN 55447-4854

Phone

(612) 707-0169

Fax

(612) 465-1603

NPI assigned

Dec 14, 2016

Last updated

Jan 9, 2024By 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

Renee Wurm

Title

Clinic Administrator

Phone

(612) 886-9607

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 4

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.

• Carol Marie Dubbels, MPT

  • Physical Therapist
  • Edina, MN
  • NPI 1770612392
  Medicare reassignment Care Compare group NPD
• Kristin K Kuehl, DPT

  • Physical Therapist
  • Plymouth, MN
  • NPI 1174961197
  Medicare reassignment Care Compare group NPD
• Dennis John Lenselink, DC

  • Chiropractor
  • Bloomington, MN
  • NPI 1225179971
  NPD
• Krista Jean Wieneke

  • Physical Therapist
  • Plymouth, MN
  • NPI 1477676799
  NPD

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1871037630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14440 28TH PL N STE 200",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554474854",
            "telephone_number": "612-707-0169",
            "fax_number": "612-465-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14440 28TH PL N STE 200",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554474854",
            "telephone_number": "612-707-0169",
            "fax_number": "612-465-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2024-01-09",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "WURM",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "612-886-9607"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melony Lee Micheals
• Eduard Michel, MD, PHD
• Peter Louis Michelich, D.D.S.
• Crystal Micoley, DC
• Midwest Immunology Clinics, PLLC (Infusion Associates)
• Layton Mikkalson, DDS
• Shanna Miko, MSN RN-BC CPN CCRN
• Joanna Marie Miles
• Mary Z Miley
• Millennium Home Care

• Physical Therapy Clinic/Center in Plymouth, MN
• Providers in Plymouth, 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 Jan 9, 2024; 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.