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Contact Information

NORTHERN STAR THERAPY LTD
251 COUNTY ROAD 120
SUITE A
SAINT CLOUD, MN56303
 Phone: 320-259-5429
 Fax: 320-240-8905
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for NORTHERN STAR THERAPY LTD

NPI Number 1821031287
LBN Legal business name NORTHERN STAR THERAPY LTD
Authorized official DAN WEAVER - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/14/2006
Last updated 03/30/2010 - About 16 years ago
Identifiers
MN Medicaid 234211100
MN Medicaid 748070900
MN Other 264M1NO BLUE CROSS BLUE SHIELD OF MN
MN Other 4G183NO BLUE CROSS BLUE SHIELD OF MN
MN Other 6B481NO BLUE CROSS BLUE SHIELD OF MN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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