Twin Cities Physical Therapy and Rehabilitation

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4417 Issued in MN

Legal business name

TWIN CITIES PHYSICAL THERAPY AND REHABILITATION

Practice address

2520 Pilot Knob Rd
250
Mendota Heights, MN 55120-1137

Phone

(651) 224-8264

NPI assigned

May 4, 2006

Organization subpart

No

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

Authorized official

Name

Janice K Raverty

Title

Clinic Administrator

Phone

(651) 224-8264

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286323200000",
    "number": "1922056126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 PILOT KNOB RD",
            "address_2": "250",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201137",
            "telephone_number": "651-224-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 PILOT KNOB RD",
            "address_2": "250",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201137",
            "telephone_number": "651-224-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITIES PHYSICAL THERAPY AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2010-10-06",
        "status": "A",
        "authorized_official_last_name": "RAVERTY",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "651-224-8264"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "4417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "483439900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aditi Tunstall
• Anthony Robert Turner, LICSW
• Tuttle Plastic Surgery
• Sharon Elston Tvrdik, DDS
• Twin Cities Occupational Health and Rehabilitation
• U.S. Healthworks Medical Group of Minnesota, PC
• United Cambodian Association of Minnesota, Inc.
• Gutata Urgessa
• Damir S. Utrzan, PH.D., LMFT, DAAETS
• Kevin James Van Patten

• Physical Therapist in Mendota Heights, MN
• Providers in Mendota Heights, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; 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.