NPIMap

Organization Active NPI

Physiyo, LLC

  • Physical Therapy Clinic/Center
  • Savage, MN
National Provider Identifier
1891250635
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PHYSIYO, LLC
Practice address
8646 Eagle Creek Cir Suite 109
Savage, MN 55378-1572
Phone
(952) 234-0377
Fax
(612) 324-7437
NPI assigned
Feb 6, 2019
Last updated
Sep 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Authorized official

Name
Christina M Henkel, PTNPI 1770593873
Title
Physical Therapist/Owner
Phone
(952) 234-0377

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
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

8646 Eagle Creek Cir Suite 109
Savage, MN 55378-1572

Mailing address

21581 Creekside Cir
Lakeville, MN 55044-8162
Phone (651) 249-8070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190328002207 MN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2668712688 Receives reassigned benefits from 3 practitioners
Practice locations: Savage, MN

National Provider Directory

National Provider Directory

Locations

8646 Eagle Creek Cir
Ste 101
Savage, MN 55378

8646 Eagle Creek Cir
Ste 109
Savage, MN 55378
Phone (952) 234-0377

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1891250635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21581 CREEKSIDE CIR",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550448162",
            "telephone_number": "651-249-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8646 EAGLE CREEK CIR SUITE 109",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553781572",
            "telephone_number": "952-234-0377",
            "fax_number": "612-324-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIYO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "HENKEL",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "952-234-0377",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savage, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.