THE AMAZING JOURNEY, LLC (NPI# 1194097337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194097337 |
| Entity Type | Organization |
| Organization Name | THE AMAZING JOURNEY, LLC |
| Other Organization Name | THE AMAZING JOURNEY |
| Practice Address |
7658 Design Rd Suite 300 Baxter MN 56425-8439 |
| Practice Telephone | 2184544600 |
| Practice Fax Number | 2184544601 |
| Mailing Telephone | 2184544600 |
| Mailing Fax Number | 2184544601 |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2014-04-22 |
| Authorized Official Name | RYAN MEYER (OPERATIONS MANAGER) |
| Authorized Official Telephone | 2184544600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | 8993 | MN | Speech, Language and Hearing Service Providers |
| N | 225X00000X | Occupational Therapist | 104320 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
8645 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| The Amazing Journey | Doing Business As Name - Organization |
| Street Address |
7658 DESIGN RD SUITE 300 |
| City | BAXTER |
| State | MN |
| Zip Code | 56425-8439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912248568 | Paula M Hartman | Massage Therapist | 7658 Design Rd, Suite 300, Baxter, MN 56425-8698 | 2013-03-06 |
| 1194074369 | Amy Yvonne Fry | Occupational Therapist | 7658 Design Rd, Suite 300, Baxter, MN 56425-8698 | 2012-09-04 |
| 1235486556 | Lori Hagood | Physical Therapist | 7658 Design Rd, Suite 300, Baxter, MN 56425-8439 | 2012-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396364089 | Jennifer Ann Olson | Behavioral Analyst | Autism Matters 14387 Edgewood Drive, Baxter, MN 56425 | 2020-04-13 |
| 1801229000 | Longville Lakes Clinic, Inc. | Clinic/Center | 13205 Isle Drive, Baxter, MN 56425 | 2013-08-12 |
| 1033555867 | Shiela Klemmetsen | Family Medicine | Essentia Health St. Joseph's-baxter Clinic, 13060 Isle Drive, Baxter, MN 56425 | 2013-05-20 |
| 1053547299 | Linda Marie Bowman | Social Worker | 13397 Shadow Wood Drive, Baxter, MN 56425 | 2009-06-02 |
| 1215112792 | Brainerd Medical Center, Inc. | Nurse Practitioner | 14133 Edgewood Drive, Baxter, MN 56425 | 2008-01-03 |
| 1134313208 | Sleep Center of Central Minnesota LLC | Clinic/Center | 13495 Elder Drive, Suite 120, Baxter, MN 56425 | 2007-08-31 |
| 1750582482 | Jacqueline Elizabeth Oelfke | Nurse Practitioner | Cbhh-baxter, 14241 Grand Oaks Dr., Baxter, MN 56425 | 2007-05-30 |
| 1508080631 | Five Star Living of Brainerd, LLC | Assisted Living Facility | 14398 Grand Oaks Drive, Baxter, MN 56425 | 2007-04-12 |
| 1093842247 | Five Star Living of Brainerd, LLC | Assisted Living Facility | 14396 Grand Oaks Dr, Baxter, MN 56425 | 2007-02-27 |
| 1053458364 | Teri Kaminski Peterson | Speech-Language Pathologist | 15620 Edgewood Dr Ste 240, Baxter, MN 56425 | 2007-01-30 |
| Find all providers in zip 56425 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902416043 | Jenna Gasperlin | Physical Therapist | 657 Main St Nw Ste 102, Elk River, MN 55330-1578 | 2020-08-04 |
| 1811552813 | Clare Muyskens | Physical Therapist | 3305 Central Park Commons Dr, Eagan, MN 55121 | 2019-05-06 |
| 1801300280 | Meghan Elizabeth Grathen | Physical Therapist | 490 S Maple St Ste 215, Waconia, MN 55387-1732 | 2017-11-21 |
| 1497205108 | Andrea Mary Mattison | Physical Therapist | 2399 Ariel St #a, Saint Paul, MN 55108-2202 | 2016-10-05 |
| 1457718264 | Jocelyn Lian Pediatric Physical Therapy Services, LLC | Physical Therapist | 13889 Fawn Ridge Way, Apple Valley, MN 55124-5035 | 2016-01-25 |
| 1689983587 | Karessa Hoffman | Physical Therapist | 9827 Maple Grove Pwky N, Maple Grove, MN 55369 | 2010-09-27 |
| 1134435332 | Lindsey Hulit Harrigan | Physical Therapist | 885 Highway 36 W, Apt. 304, Roseville, MN 55113-4429 | 2010-08-25 |
| 1760626196 | Crystal Lynn Markfort | Physical Therapist | 2025 East River Parkway, Mpls, MN 55414 | 2009-04-29 |
| 1659577153 | Mary Royer | Physical Therapist | 100 W Pleasure Dr, Litchfield, MN 55355-3525 | 2007-06-22 |
| 1295809366 | Children's Therapy Center, Inc | Physical Therapist | 2795 Pilot Knob Rd # 100, Eagan, MN 55121-1119 | 2006-11-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.