FAIRVIEW SPECIALTY SERVICES
NPI 1043199334
Clinic/Center - Physical Therapy in Minneapolis, MN

Active since August 29, 2025CLIA 24D2043139 · Waiver
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(855) 324-7843 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fairview Specialty Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRVIEW SPECIALTY SERVICES (NPI 1043199334) is a healthcare organization registered as a physical therapy in Minneapolis, Minnesota and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through June 27, 2028 and lists Joseph Charles Gaylord, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1043199334
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameFAIRVIEW SPECIALTY SERVICES
Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450
Mailing Address1700 University Ave WSaint Paul, MN 55104-3727
Organization SubpartNo
Authorized OfficialJoseph Charles GaylordChief Financial Officer · (612) 672-6119
Enumeration DateAugust 29, 2025
NPPES CertifiedAugust 29, 2025
✔ NPI 1043199334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
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.
2450 RIVERSIDE AVE, Minneapolis, MN 55454

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fairview Specialty Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2,369

Medicare enrollment records show 2,369 clinicians reassign Medicare billing to Fairview Specialty Services, which bills Medicare for the services they deliver. Of these, 241 practice at this address and 1,732 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 69

Nurse Practitioner264
Diagnostic Radiology261
Physical Therapist in Private Practice185
Pediatric Medicine112
Clinical Social Worker104
Internal Medicine88
Clinical Psychologist79
Cardiovascular Disease (Cardiology)72
61 other specialties1,204

Nearest to this location (20)

See all 2,369
General Surgery
NPI 1992749584
2450 RIVERSIDE AVE # AO-510
Minneapolis, MN 55454
(612) 626-8430
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1801141502
2450 RIVERSIDE AVE
Minneapolis, MN 55454
(612) 626-2755
✔ PECOSSame address
Psychiatry
NPI 1871857458
2450 RIVERSIDE AVE
Minneapolis, MN 55454
(612) 273-8700
✔ PECOS✔ Accepts MedicareSame address
Epileptologists
NPI 1346735750
2450 RIVERSIDE AVE EXPLORED CLINIC-12TH FLOOR
Minneapolis, MN 55454
(612) 273-0690
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1295341048
2450 RIVERSIDE AVE
Minneapolis, MN 55454
(763) 913-6893
✔ PECOSSame address
Nephrology
NPI 1679065205
2450 RIVERSIDE AVE
Minneapolis, MN 55454
(612) 672-4202
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1447814132
2450 RIVERSIDE AVE
Minneapolis, MN 55454
(612) 672-7700
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1548963614
2450 RIVERSIDE AVE
Minneapolis, MN 55454
(612) 273-8700
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1861613911
2450 RIVERSIDE AVENUE
Minneapolis, MN 55454
(612) 672-6000
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1528447273
2450 RIVERSIDE AVE
Minneapolis, MN 55454
(612) 672-6000
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1801134309
2450 RIVERSIDE AVE
Minneapolis, MN 55454
(612) 273-3000
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1487336343
2450 RIVERSIDE AVE
Minneapolis, MN 55454
(612) 273-5640
✔ PECOS✔ Accepts MedicareSame address
Qualified Speech Language Pathologist
NPI 1881923548
2450 RIVERSIDE AVE
Minneapolis, MN 55454
(612) 273-3000
Same address
Hematology/Oncology
NPI 1649664871
2450 RIVERSIDE AVE
Minneapolis, MN 55454
(612) 365-8100
✔ PECOS✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1912840133
2450 RIVERSIDE AVE
Minneapolis, MN 55454
(612) 365-1000
Same address
Internal Medicine
NPI 1851915557
2450 RIVERSIDE AVE
Minneapolis, MN 55454
(612) 672-6000
✔ PECOS✔ Accepts MedicareSame address
Radiation Oncology
NPI 1578095139
2450 RIVERSIDE AVE
Minneapolis, MN 55454
(612) 672-6000
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1720321409
2450 RIVERSIDE AVE
Minneapolis, MN 55454
(612) 273-4000
✔ PECOS✔ Accepts MedicareSame address
Sports Medicine
NPI 1104480359
2450 RIVERSIDE AVE STE R200
Minneapolis, MN 55454
(612) 672-7100
✔ PECOS✔ Accepts MedicareSame address
Marriage and Family Therapist
NPI 1477093953
2450 RIVERSIDE AVE
Minneapolis, MN 55454
(612) 273-9858
✔ PECOS✔ Accepts MedicareSame address
See all 2,369 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2043139

Fairview Specialty Services Minneapolis Recovery Clinic · Minneapolis, MN
Active · expires Jun 27, 2028
CLIA Number24D2043139
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 28, 2026
Certificate Expiration DateJune 27, 2028
Laboratory DirectorVictoria Nemitz
Laboratory Phone(612) 273-5530
Laboratory LocationFairview Specialty Services Minneapolis Recovery Clinic2312 6th St, Suite F105, Minneapolis, MN 55454
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fairview Specialty Services's NPI number?

The NPI number for Fairview Specialty Services is 1043199334. It was assigned to this organization in the NPPES registry on August 29, 2025.

Where is Fairview Specialty Services located?

Fairview Specialty Services is located at 2450 Riverside Ave, Minneapolis, MN 55454. The listed phone number is (855) 324-7843.

What is Fairview Specialty Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Fairview Specialty Services enrolled in Medicare?

Yes. Fairview Specialty Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fairview Specialty Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 2,369 clinicians in 69 Medicare specialties reassign their Medicare billing to Fairview Specialty Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (264), Diagnostic Radiology (261) and Physical Therapist in Private Practice (185). Of these, 241 practice at this address and 1,732 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Fairview Specialty Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2043139) is associated with this NPI, valid through June 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fairview Specialty Services accept?

Health plans from Sanford Health Plan list Fairview Specialty Services as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fairview Specialty Services was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.