PDR Chanhassen, LTD

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PDR CHANHASSEN, LTD

Practice address

18912 Lake Dr E
Chanhassen, MN 55317-9348

Phone

(952) 908-2730

Fax

(952) 908-2731

NPI assigned

Apr 15, 2010

Organization subpart

No

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

Authorized official

Name

Todd Ginkel, DC

Title

Owner

Phone

(952) 908-2565

Specialties & licenses 7

Addresses

Locations

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1992021851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18912 LAKE DR E",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553179348",
            "telephone_number": "952-908-2730",
            "fax_number": "952-908-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18912 LAKE DR E",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553179348",
            "telephone_number": "952-908-2730",
            "fax_number": "952-908-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDR CHANHASSEN, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "GINKEL",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-908-2565",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Nicollet Health Care Products
• Devin Parker
• Vikesh Patel, M.D.
• Katherine Anne Paulsen, O.D.
• Tia Paulson, PHARMD
• Stephen Hilding Pearson, M.D.
• James Ernest Peck, PH.
• Katherine B Perusse, DO
• Jenelle Peterson
• PHS/Chanhassen,Inc.

• Physical Therapist in Chanhassen, MN
• Providers in Chanhassen, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.