1730178005 NPI number — ORENSTEIN PHYSICAL THERAPY

Table of content: (NPI 1730178005)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730178005 NPI number — ORENSTEIN PHYSICAL THERAPY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ORENSTEIN PHYSICAL THERAPY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730178005
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/29/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
222 N 2ND ST
Provider Second Line Business Mailing Address:
SUITE 200
Provider Business Mailing Address City Name:
MINNEAPOLIS
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55401-1492
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
612-333-1133
Provider Business Mailing Address Fax Number:
612-333-0033

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4388 FRANCE AVE S STE 220
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MINNEAPOLIS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55410-1301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
612-333-1133
Provider Business Practice Location Address Fax Number:
612-333-0033
Provider Enumeration Date:
10/19/2005

Additional Information

Authorized Official

Authorized Official Last Name:
ORENSTEIN
Authorized Official First Name:
PHILIP
Authorized Official Middle Name:
M
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
612-333-1133

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  2384 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1386623304 . This is a "MARGI'S NPI" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 29B69OR . This is a "BCBS ID" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 85641 . This is a "PREFERREDONE ID" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 6482096 . This is a "MEDICA ID" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 58063 . This is a "HEALTHPARTNERS ID" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com