Supreme Physical Therapy, Inc.
LBN: Supreme Physical Therapy, Inc.
Supreme Physical Therapy, Inc. is an health care organization with primary practice located at 5201 Chowen Ave S , Minneapolis MN 55410-2121. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Supreme Physical Therapy, Inc. can be contacted via phone (612) 805-2741, or through Priem, Susan Mary via phone (612) 805-2741.
Contact Information
Primary practice address
5201 Chowen Ave S
Minneapolis MN 55410-2121
Phone: (612) 805-2741
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4097 | Minnesota |
Profile Details
| NPI number | 1255303095 |
|---|---|
| LBN Legal business name | Supreme Physical Therapy, Inc. |
| DBA Doing business as | |
| Authorized official | Priem, Susan Mary PHYSICAL THERAPIST |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255303095 | NPPES |
| Minnesota | Other | 349G0SU | BLUE CROSS/BLUE SHIELD |
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