ORTHOPEDIC & SPORTS REHABILIATION, LLC (NPI# 1821205394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821205394 |
| Entity Type | Organization |
| Organization Name | ORTHOPEDIC & SPORTS REHABILIATION, LLC |
| Practice Address |
7872 Century Blvd Chanhassen MN 55317-8005 |
| Practice Telephone | 9524489081 |
| Practice Fax Number | 9524489088 |
| Mailing Telephone | 9524489081 |
| Mailing Fax Number | 9524489088 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RUSTY WALLMAN (OWNER) |
| Authorized Official Telephone | 9524489081 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 6935 | MN | Other Service Providers |
| Street Address |
7872 CENTURY BLVD |
| City | CHANHASSEN |
| State | MN |
| Zip Code | 55317-8005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306949359 | Nathan Stier | Physical Therapist | 7872 Century Blvd, Chanhassen, MN 55317 | 2006-09-06 |
| 1336625326 | Osr Physical Therapy Limited Partnership | Occupational Therapist | 7872 Century Blvd, Chanhassen, MN 55317-8005 | 2018-07-13 |
| 1003360512 | Matt Saemrow | Specialist/Technologist | 7872 Century Blvd, Chanhassen, MN 55317-8005 | 2016-08-12 |
| 1558721134 | Brandon Priebe | Physical Therapist | 7872 Century Blvd, Chanhassen, MN 55317-8005 | 2016-02-25 |
| 1730592361 | Max Pagel | Specialist/Technologist | 7872 Century Blvd, Chanhassen, MN 55317-8005 | 2014-06-11 |
| 1821421546 | Orthopedic and Sports Rehabilitation Physical Therapy | Specialist/Technologist | 7872 Century Blvd, Chanhassen, MN 55317-8005 | 2013-08-16 |
| 1366882649 | Jason Daniel Kopp | Specialist/Technologist | 7872 Century Blvd, Chanhassen, MN 55317-8005 | 2013-07-01 |
| 1689954455 | Serena Tichy | Specialist/Technologist | 7872 Century Blvd, Chanhassen, MN 55317-8005 | 2011-08-24 |
| 1962799296 | Cole Buchanan Abernathy | Specialist/Technologist | 7872 Century Blvd, Chanhassen, MN 55317-8005 | 2011-07-07 |
| 1245527605 | Kelly Robison | Specialist/Technologist | 7872 Century Blvd, Chanhassen, MN 55317-8005 | 2011-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801245717 | Thaddeus Sharikov | Chiropractor | 7945 Stone Creek Dr. Ste 120, Chanhassen, MN 55317 | 2016-06-10 |
| 1720461668 | Steven C Witmer | Counselor | Northstar Regional Counseling, 7945 Stone Creek Drive Suite 140, Chanhassen, MN 55317 | 2015-07-08 |
| 1194078584 | Kentaro Ishikawa | Dentist | 190 Lake Dr E, Ste 130, Chanhassen, MN 55317 | 2012-10-22 |
| 1356559983 | Rtgmedical | General Acute Care Hospital | 2186 Baneberry Way W, Chanhassen, MN 55317 | 2007-05-18 |
| 1528273299 | Cam-tu Nguyen Dalluge | Dentist | 500 West 79th Street, Radiance Dental, Chanhassen, MN 55317 | 2007-05-14 |
| 1194938910 | Sheri Hinrichs | Psychologist | 600 W. 78th St. #220, Chanhassen, MN 55317 | 2007-05-08 |
| 1891833059 | Great Plains Dental | Dentist | 500 W 79th St, Chanhassen, MN 55317 | 2007-02-01 |
| 1073665014 | Judith Aarsvold Indrelie | Psychologist | 600 West 78th Street, Chanhassen, MN 55317 | 2007-01-18 |
| 1285709410 | Diane Patricia O'grady | Psychiatry & Neurology | 7945 Stone Creek Drive, Suite 130, Chanhassen, MN 55317 | 2006-11-22 |
| 1114097425 | Michael Jeffery Leonard | Dentist | 80 West 78th Street, Chanhassen, MN 55317 | 2006-11-08 |
| Find all providers in zip 55317 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942265434 | Surgical Specialties, Ltd. | Specialist | 470 W 78th St, Chanhassen, MN 55317-4524 | 2006-04-19 |
| 1932174661 | Bret A Cardwell | Specialist | 470 W 78th St, Chanhassen, MN 55317-4524 | 2006-02-17 |
| 1306811070 | Jill M Julsrud | Specialist | 470 W 78th St, Chanhassen, MN 55317-4524 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846369 | Cyprian O Marubi | Specialist | 2021 E Hennepin Ave Ste 402, Minneapolis, MN 55413-1867 | 2020-09-23 |
| 1992327415 | Julie Baker | Specialist | 907 W Central Entrance, Duluth, MN 55811-5469 | 2020-05-07 |
| 1710521257 | Karly Bauer | Specialist | 512 30th Ave E Ste 10, Alexandria, MN 56308-5096 | 2019-10-28 |
| 1447816632 | Advanced Brain and Body Clinic Pllc | Specialist | 126 N 3rd St Ste 402, Minneapolis, MN 55401-2838 | 2019-05-14 |
| 1184181349 | Beverly Teresa Brending | Specialist | 745 Grand Ave Ste 101, Saint Paul, MN 55105-3384 | 2019-02-25 |
| 1982190294 | Lori Hunt | Specialist | 6425 Flying Cloud Dr, Eden Prairie, MN 55344-4555 | 2018-07-10 |
| 1346769692 | Darci Stanford | Specialist | 130 E Vine St, Owatonna, MN 55060-2428 | 2017-09-18 |
| 1407397250 | Malcolm Watt | Specialist | 7 Cannon St W, Dundas, MN 55019-4039 | 2017-03-13 |
| 1821532284 | Diana Mason | Specialist | 8170 Hillcrest Dr Ne, Bemidji, MN 56601-8993 | 2016-12-05 |
| 1649726910 | Rebecca Hoffman Pllc | Specialist | 3400 1st Street N, Suite 300, St. Cloud, MN 56301 | 2016-08-28 |
| Find all providers with the same taxonomy | ||||
| City | CHANHASSEN |
| Zip Code | 55317 |
Please comment or provide details below to improve the information on ORTHOPEDIC & SPORTS REHABILIATION, LLC.
| 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.