Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MINNESOTA MEDICAL AND REHABILITATIVE SERVICES, LLC
Deactivated OrganizationMINNESOTA MEDICAL AND REHABILITATIVE SERVICES, LLC is a Physical Therapy Assistant organization located in ST. LOUIS PARK, Minnesota. NPI 1154302545 is deactivated in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · ST. LOUIS PARK, MN
This NPI has been deactivated.
The record was deactivated on March 29, 2022.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1154302545
- Provider Type
- Organization
- NPI Issued
- Nov 11, 2005 (16.378082191781 yrs)
- Last Updated
- Sep 18, 2025
- Deactivated
- Mar 29, 2022
- Licenses
-
5169 (MN)102980 (MN)2264 (MN)6034 (MN)5806 (MN)
Practice Information
- Address
-
4201 EXCELSIOR BLVDST. LOUIS PARK, MN, 554164728Browse MN providers · Browse ZIP 55416
- Phone
- 9525643880
- Fax
- 9529459536
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Occupational Therapist
- Additional Specialty
- Physical Therapy Assistant
- Additional Specialty
- Speech, Language and Hearing Specialist
- Additional Specialty
- Physical Therapy Assistant
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.