Orthopedic & Sports Physical Therapy, Inc, NPI 1811923535
Multi-Specialty Clinic/Center in Breckenridge, MN, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1811923535 |
| NPI Entity Type | Organization |
| Provider Name | Orthopedic & Sports Physical Therapy, Inc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 430 5th St N, Breckenridge, MN, US |
| Provider Mailing Address | 430 5th St N, Breckenridge, MN, US, 565201426 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MRS. PT/ATC Shawn Marie Krause Roberts |
| Official Position | PRESIDENT |
| Phone | 218-641-7725 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X MULTIPLE SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Multi-Specialty Clinic/Center |
| Classification | |
| Group | |
| Description | Definition to come... |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
6521 | MN | No | ||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
1180 | ND | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 121G4OR | MN | MN BCBS FOR OT'S | 01 |
| 148478000 | MN | MEDICAID | 05 |
| DD3739 | MN | RR MEDICARE | 01 |
| 96570 | MN | HEALTH PARTNERS | 01 |
| 1458152 | ND | MEDICAID | 05 |
| 057K80R | MN | MN BCBS | 01 |
| 101592300 | MN | US DEPT OF LABOR | 01 |
| 1041486 | MN | PREFERRED ONE | 01 |
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