Pink Skies Corporation

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PINK SKIES CORPORATION

Doing business as

FYZICAL Therapy & Balance

Practice address

17761 Kenwood TRL
Lakeville, MN 55044-5504

Phone

(612) 203-9115

NPI assigned

Mar 10, 2023

Organization subpart

No

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

Authorized official

Name

Noiy Nguyen

Title

President

Phone

(612) 203-9115

Specialties & licenses 1

Addresses

Other names 1

• FYZICAL Therapy & Balance Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

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

• Jena Kocur, DPT

  • Physical Therapist
  • Stillwater, MN
  • NPI 1215567367
  Medicare reassignment Care Compare group NPD
• Barbara Flynn, P.T.

  • Physical Therapist
  • Springfield, MO
  • NPI 1942483995

  MN

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1871294538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10541 NESBITT AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554372714",
            "telephone_number": "612-203-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17761 KENWOOD TRL",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550445504",
            "telephone_number": "612-203-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINK SKIES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "NOIY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-203-9115"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYZICAL Therapy & Balance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chelsea L Petrich, PHARM.D.
• Claire Petrie
• Pamela Moses Philip
• Gretchen Irene Philpot, CCC-SLP
• Pillars of Lakeville LLC
• Douglas Paul Piper, HID
• Jacob T Pitchford
• Platt Dentistry
• Mackenzie King Platt, D.D.S.
• Nicole Poganski, PA-C

• Physical Therapy Clinic/Center in Lakeville, MN
• Providers in Lakeville, 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 Mar 10, 2023; 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.