Active NPI
Beyond Borders Therapy Services
- Home Health Agency
- Coon Rapids, MN
National Provider Identifier
1891040291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 101919
- Legal business name
- BEYOND BORDERS THERAPY SERVICES
- Doing business as
- Beyond Borders Therapy Services
- Practice address
- 10101 Quince St NW
Coon Rapids, MN 55433-5146 - Phone
- (763) 370-6743
- Fax
- (763) 226-2452
- NPI assigned
- Jul 21, 2012
- Last updated
- Jul 21, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kathleen Marie Simcox, B. S. OTR/L
- Title
- Occupational Therapist
- Phone
- (763) 370-6743
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 101919 | MN | Primary |
Addresses
Primary practice location
10101 Quince St NW
Coon Rapids, MN 55433-5146
Mailing address
10101 Quince St NW
Coon Rapids, MN 55433-5146
Phone (763) 370-6743
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447497037 | Other | MN | NPI 1- PROVIDER NUMBER |
Other names 1
- Beyond Borders Therapy Services
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1342828800000",
"number": "1891040291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10101 QUINCE ST NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554335146",
"telephone_number": "763-370-6743",
"fax_number": "763-226-2452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10101 QUINCE ST NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554335146",
"telephone_number": "763-370-6743",
"fax_number": "763-226-2452"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEYOND BORDERS THERAPY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-21",
"last_updated": "2012-07-21",
"status": "A",
"authorized_official_last_name": "SIMCOX",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "763-370-6743",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "B. S. OTR/L"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MN",
"license": "101919",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI 1- PROVIDER NUMBER",
"identifier": "1447497037",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Beyond Borders Therapy Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Coon Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.