DR. JUSTIN KYLE BLOOD (NPI# 1295863934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295863934 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN KYLE BLOOD |
| Credential | PT, DPT, OCS |
| Practice Address |
4180 Lexington Ave N Shoreview MN 55126-6106 |
| Mailing Address |
1739 Hillview Rd Shoreview MN 55126-4909 |
| Practice Telephone | 6512411455 |
| Practice Fax Number | 6512411456 |
| Mailing Telephone | 6512411455 |
| Mailing Fax Number | 6512411456 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
6905 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4180 LEXINGTON AVE N |
| City | SHOREVIEW |
| State | MN |
| Zip Code | 55126-6106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346219862 | Michelle Marie Hosfield | Physical Medicine & Rehabilitation | 4180 Lexington Ave N, Shoreview, MN 55126-6106 | 2006-03-16 |
| 1427430321 | Alec Schumacher | Physical Therapist | 4180 Lexington Ave N, Shoreview, MN 55126-6106 | 2015-06-26 |
| 1043597685 | Renee Lynn Miller | Physical Therapist | 4180 Lexington Ave N, Shoreview, MN 55126-6106 | 2011-11-10 |
| 1831499094 | Kimberly A Donahue | Physical Therapist | 4180 Lexington Ave N, Shoreview, MN 55126-6106 | 2010-10-21 |
| 1104956689 | Rodney Shawn Koehn | Physical Therapist | 4180 Lexington Ave N, Shoreview, MN 55126-6106 | 2007-03-06 |
| 1295864031 | Lloyd Gerald Fjare | Physical Therapist | 4180 Lexington Ave N, Shoreview, MN 55126-6106 | 2007-03-05 |
| 1518095199 | Cynthia Rae Rammpt | Physical Therapist | 4180 Lexington Ave N, Shoreview, MN 55126-6106 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174184964 | Natural Smiles Dental Care | Clinic/Center | 3434 Lexington Ave. N, Suite 700, Shoreview, MN 55126 | 2019-06-24 |
| 1588194740 | Michael Simons | Hearing Instrument Specialist | 1007 Tiller Lane, Shoreview, MN 55126 | 2017-06-19 |
| 1902255441 | Latarsha Nicole Bronaugh | Counselor | 3490 Lexington Ave North, Suite 205, Shoreview, MN 55126 | 2016-06-06 |
| 1265809479 | Emily Elizabeth Bade | Social Worker | 3490 Lexington Ave. N, Suite 205, Shoreview, MN 55126 | 2015-08-24 |
| 1669857520 | Laurel Ann Walsh | Marriage & Family Therapist | 3490 Lexington Ave. N., Suite 205, Shoreview, MN 55126 | 2015-07-21 |
| 1598150930 | Nova Bhs | Psychologist | 521 Tanglewood Dr., Shoreview, MN 55126 | 2015-04-02 |
| 1144570714 | Healthstat Arkansas/pace Ind.- St. Paul | Preventive Medicine | 3737 Lexington Ave. N, St. Paul, MN 55126 | 2012-09-11 |
| 1679843619 | Shoreview Dental Associates | Dentist | 4700 Lexington Avenue N, Suite D, Shoreview, MN 55126 | 2012-01-09 |
| 1700039575 | Jacqueline Elizabeth Hoppenrath | Audiologist | 4570 Churchill St Ste 130, Shoreview, MN 55126 | 2008-10-24 |
| 1164545935 | Lucia Jane Lein | Chiropractor | 1000 W. County Rd. E, 210, Shoreview, MN 55126 | 2007-04-09 |
| Find all providers in zip 55126 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770616849 | Theresa Irene Plasencia | Physical Therapist | 1030 County Road E W Ste 240, Shoreview, MN 55126-8153 | 2007-03-14 |
| 1104956689 | Rodney Shawn Koehn | Physical Therapist | 4180 Lexington Ave N, Shoreview, MN 55126-6106 | 2007-03-06 |
| 1295864031 | Lloyd Gerald Fjare | Physical Therapist | 4180 Lexington Ave N, Shoreview, MN 55126-6106 | 2007-03-05 |
| 1518095199 | Cynthia Rae Rammpt | Physical Therapist | 4180 Lexington Ave N, Shoreview, MN 55126-6106 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063930493 | Thomas Broback | Physical Therapist | 14382 60th St N, Stillwater, MN 55082-6311 | 2017-09-06 |
| 1134667686 | Tiffany Moriarity | Physical Therapist | 13690 Rogers Dr Ste 180, Rogers, MN 55374-9309 | 2017-02-04 |
| 1437603016 | Mark Deschepper | Physical Therapist | 1600 University Ave W # 10, Saint Paul, MN 55104-3898 | 2016-08-11 |
| 1750757522 | Caleb Vizina | Physical Therapist | 1116 County Road 6 Sw, Howard Lake, MN 55349 | 2015-08-17 |
| 1467867010 | Andrea Price | Physical Therapist | 5775 Wayzata Blvd Ste 900, Saint Louis Park, MN 55416-2674 | 2014-06-23 |
| 1124431481 | John E Amundson | Physical Therapist | 410 30th Ave E Ste 102, Alexandria, MN 56308-4770 | 2014-06-04 |
| 1285975078 | Jacob Allen Wendland | Physical Therapist | 1304 W Lincoln Ave Ste C, Fergus Falls, MN 56537-4818 | 2013-03-05 |
| 1740524867 | Lisa Zeman | Physical Therapist | 8900 109th Ave N Ste 700, Champlin, MN 55316-3150 | 2012-11-15 |
| 1326309709 | Jacob Kretschmar | Physical Therapist | 13274 53rd St Ne, Spicer, MN 56288-9437 | 2012-06-02 |
| 1225279516 | Patricia F Knecht | Physical Therapist | 1560 Beam Ave Ste D, Maplewood, MN 55109-1171 | 2009-03-16 |
| 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.