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FAIRVIEW EXPRESS CARE NPI 1700235587


NPI Information

NPI: 1700235587
Provider Name: FAIRVIEW EXPRESS CARE

Other Name: M HEALTH FAIRVIEW PEDIATRIC THERAPY - WOODBURY

Classification: Physical Medicine & Rehabilitation - 2081P0010X
Entity Type: Organization

Specialization: Pediatric Rehabilitation Medicine

CLIA Number: 24D2078369

Address:
9680 TAMARACK RD
SUITE 130
WOODBURY, MN
ZIP 55125
Phone: (612) 273-1172
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FAIRVIEW EXPRESS CARE is a pediatric rehabilitation medicine physical medicine rehabilitation in Woodbury, MN. The provider is a physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. FAIRVIEW EXPRESS CARE NPI is 1700235587. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is M Health Fairview Pediatric Therapy - Woodbury.

The provider's business location address is:

9680 TAMARACK RD
SUITE 130
WOODBURY, MN
ZIP 55125-617
Phone: (612) 273-1172
Fax: (612) 273-8490

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 CLIA number assigned to this NPI record is 24D2078369 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/13/2016 and was last updated on 11/2/2020.


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
12081P0010XPhysical Medicine & RehabilitationPediatric Rehabilitation MedicineYes

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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