GATEWAY PHYSCIAL THERAPY, INC (NPI# 1386830768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386830768 |
| Entity Type | Organization |
| Organization Name | GATEWAY PHYSCIAL THERAPY, INC |
| Practice Address |
2601 Centennial Dr Suite 101 North St Paul MN 55109-3041 |
| Practice Telephone | 6512244930 |
| Mailing Telephone | 6512244930 |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-19 |
| Authorized Official Name | JANE COWLEY (CO-DIRECTOR) |
| Authorized Official Telephone | 6512244930 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CORPORATE CHARTER NUMBER | 2478325-2 | 01 |
| Street Address |
2601 CENTENNIAL DR SUITE 101 |
| City | NORTH ST PAUL |
| State | MN |
| Zip Code | 55109-3041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780614610 | Nicole Rae Vik | Family Medicine | 2601 Centennial Dr, Suite 100, North St Paul, MN 55109-3086 | 2006-07-04 |
| 1083894711 | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | Family Medicine | 2601 Centennial Dr, Suite 100, North St Paul, MN 55109-3041 | 2007-11-09 |
| 1487665527 | Joseph J Saccoman | Family Medicine | 2601 Centennial Dr, Suite 100, North St Paul, MN 55109-3086 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716669 | C.o.m.p.e.t.e Physical Therapy & Wellness LLC | Clinic/Center | 1517 Johnson Dr, Moorhead, MN 56560-7441 | 2020-09-27 |
| 1043846173 | Persistence Physical Therapy LLC | Clinic/Center | 2009 W Broadway Ave, Ste 400 Pmb 131, Forest Lake, MN 55025 | 2020-03-20 |
| 1700419207 | Emily L Parnell | Clinic/Center | 983 James Ave, Saint Paul, MN 55102-3330 | 2020-02-13 |
| 1447898358 | Joy Physical Therapy Inc. | Clinic/Center | 1648 River Bluff Ct, Eagan, MN 55121-1719 | 2019-12-11 |
| 1578125159 | Evolve Rehab & Performance LLC | Clinic/Center | 4346 Wooddale Ave, St Louis Park, MN 55424-1061 | 2019-07-03 |
| 1093375198 | Taylor Doeden | Clinic/Center | 1929 33rd St S, Moorhead, MN 56560-3951 | 2019-06-19 |
| 1083176101 | Transcend Rehab & Wellness LLC | Clinic/Center | 1227 17th St Sw, Willmar, MN 56201-2843 | 2019-04-05 |
| 1891250635 | Physiyo, LLC | Clinic/Center | 8646 Eagle Creek Cir Suite 109, Savage, MN 55378-1572 | 2019-02-06 |
| 1922562883 | Kinecio | Clinic/Center | 7650 Currell Blvd Ste 325, Woodbury, MN 55125-2257 | 2019-01-24 |
| 1366916363 | She Pt LLC | Clinic/Center | 5410 Abbott Pl, Edina, MN 55410-2320 | 2019-01-14 |
| Find all providers with the same taxonomy | ||||
| City | NORTH ST PAUL |
| Zip Code | 55109 |
Please comment or provide details below to improve the information on GATEWAY PHYSCIAL THERAPY, INC.
| 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.