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: August 30, 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

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 DirectorPedro E. Castaneda
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Rehabilitation Practitioner
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Pediatrics
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Internal Medicine (Geriatric Medicine)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Dietitian, Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Nurse Practitioner (Pediatrics, Critical Care)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Internal Medicine
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Physician Assistant
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Nurse Anesthetist, Certified Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454

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.

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.

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 12 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.