Organization Active NPI

Access Group Physical Therapy, LLC

  • Physical Medicine & Rehabilitation Physician
  • Little Canada, MN
National Provider Identifier
1891200655
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ACCESS GROUP PHYSICAL THERAPY, LLC
Practice address
2800 Rice St Ste 159
Little Canada, MN 55113-2277
Phone
(651) 249-6805
NPI assigned
Dec 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Authorized official

Name
Mr. Christopher Nils Brustuen
Title
President
Phone
(651) 330-2286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

2800 Rice St Ste 159
Little Canada, MN 55113-2277

Mailing address

2800 Rice St Ste 159
Little Canada, MN 55113-2277
Phone (651) 330-2286

National Provider Directory

National Provider Directory

Locations

2800 Rice St
Ste 159
Saint Paul, MN 55113
Phone (651) 249-6805

2042 Wooddale Dr
Ste 140
Woodbury, MN 55125
Phone (651) 330-2286

26673 Fallbrook Ave
Wyoming, MN 55092
Phone (651) 330-2286

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1512172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1891200655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 RICE ST STE 159",
            "city": "LITTLE CANADA",
            "state": "MN",
            "postal_code": "551132277",
            "telephone_number": "651-330-2286",
            "fax_number": "651-340-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 RICE ST STE 159",
            "city": "LITTLE CANADA",
            "state": "MN",
            "postal_code": "551132277",
            "telephone_number": "651-249-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS GROUP PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-02",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "BRUSTUEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "NILS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-330-2286",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Canada, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.