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FAIRVIEW EXPRESS CARE NPI 1407834302


NPI Information

NPI: 1407834302
Provider Name: FAIRVIEW EXPRESS CARE

Doing Business As: INSTITUTE FOR ATHLETIC MEDICINE

Classification: Clinic/Center - 261QP2000X
Entity Type: Organization

Specialization: Physical Therapy

Address:
2600 39TH AVE NE
STE 220
MINNEAPOLIS, MN
ZIP 55421
Phone: (612) 789-0417
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FAIRVIEW EXPRESS CARE is a physical therapy clinic center in Minneapolis, MN. The provider is an entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance. FAIRVIEW EXPRESS CARE NPI is 1407834302. The provider is registered as an organization entity type.
The provider Is Doing Business As Institute For Athletic Medicine.

The provider's business location address is:

2600 39TH AVE NE
STE 220
MINNEAPOLIS, MN
ZIP 55421-379
Phone: (612) 789-0417
Fax: (612) 789-0522

The provider's authorized official is Robert Andrew Mccoy .
The authorized official title is Vp Revenue Management and has the following contact phone number (612) 672-6594.

The enumeration date for this NPI number is 1/3/2006 and was last updated on 1/16/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)No
2261QP2000XClinic/CenterPhysical TherapyMINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1240725600MEDICAIDMINNESOTA
2240725612MEDICAIDMINNESOTA
3240725605MEDICAIDMINNESOTA
4240725614MEDICAIDMINNESOTA
5240725616MEDICAIDMINNESOTA
6240725601MEDICAIDMINNESOTA
7240725615MEDICAIDMINNESOTA
8240725619MEDICAIDMINNESOTA
9240725627MEDICAIDMINNESOTA
10240725603MEDICAIDMINNESOTA
11240725617MEDICAIDMINNESOTA
12240725618MEDICAIDMINNESOTA
13240725623MEDICAIDMINNESOTA
14240725626MEDICAIDMINNESOTA
15240725602MEDICAIDMINNESOTA
16240725609MEDICAIDMINNESOTA
17240725611MEDICAIDMINNESOTA
18240725621MEDICAIDMINNESOTA
19240725625MEDICAIDMINNESOTA
20207168200MEDICAIDMINNESOTA
21240725607MEDICAIDMINNESOTA
22240725608MEDICAIDMINNESOTA
23240725604MEDICAIDMINNESOTA
24240725606MEDICAIDMINNESOTA
25240725610MEDICAIDMINNESOTA
26116422800MEDICAIDMINNESOTA
27240725613MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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