NPIMap

Organization Active NPI

Premier Physical Therapy Centers, Inc.

  • Physical Therapist
  • Coon Rapids, MN
National Provider Identifier
1952471336
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1966 Issued in MN
Legal business name
PREMIER PHYSICAL THERAPY CENTERS, INC.
Practice address
3867 Coon Rapids Blvd NW
Coon Rapids, MN 55433
Phone
(763) 576-3030
Fax
(763) 576-8383
NPI assigned
Nov 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Craig Carney Cowell, RPTNPI 1316946528
Title
Owner Physical Therapist
Phone
(763) 576-3030

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 Therapist 225100000X 1966 MN Primary

Addresses

Primary practice location

3867 Coon Rapids Blvd NW
Coon Rapids, MN 55433

Mailing address

3867 Coon Rapids Blvd NW
Coon Rapids, MN 55433
Phone (763) 576-3030

Other identifiers 3

IdentifierTypeStateIssuer
1316946528OtherMNNPI
1811996754OtherMNCRAIG D JOHNSON NPI
1447259445OtherMNNPI DEAN ERIE

National Provider Directory

National Provider Directory

Locations

3867 Coon Rapids Blvd NW
Coon Rapids, MN 55433
Phone (763) 576-3030

3960 Coon Rapids Blvd NW
Ste 205
Coon Rapids, MN 55433
Phone (763) 576-3030

730 Apollo Dr
Ste 104
Lino Lakes, MN 55014
Phone (651) 784-2105

200 Village Center Dr
Ste 250
North Oaks, MN 55127
Phone (651) 765-0755

2803 Lincoln Dr
Ste 302
Roseville, MN 55113
Phone (651) 633-1593

470 Highway 96 W
Ste 120
Shoreview, MN 55126
Phone (651) 765-0755

1825 Curve Crest Blvd W
Ste 201
Stillwater, MN 55082
Phone (651) 430-9319

Practitioners & affiliated clinicians

Practitioners 12

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": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952471336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3867 COON RAPIDS BLVD NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "55433",
            "telephone_number": "763-576-3030",
            "fax_number": "763-576-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3867 COON RAPIDS BLVD NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "55433",
            "telephone_number": "763-576-3030",
            "fax_number": "763-576-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHYSICAL THERAPY CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COWELL",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "CARNEY",
        "authorized_official_title_or_position": "OWNER PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "763-576-3030",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "1966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1316946528",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRAIG D JOHNSON NPI",
            "identifier": "1811996754",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DEAN ERIE",
            "identifier": "1447259445",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.