PARK NICOLLET
NPI 1053623785
Clinic/Center - Physical Therapy in Eden Prairie, MN

Active since July 10, 2010CLIA 24D0400452 · Accreditation
8455 FLYING CLOUD DR, EDEN PRAIRIE, MN 55344(952) 993-7470 Get Directions Write a Review

NPPES record last updated: July 10, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Park Nicollet NPPES

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

PARK NICOLLET (NPI 1053623785) is a healthcare organization registered as a physical therapy in Eden Prairie, Minnesota and active in the NPI registry since July 2010. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists David Abelson, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1053623785
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NamePARK NICOLLET
Location Address8455 FLYING CLOUD DREden Prairie, MN 55344-3974
Mailing Address8455 Flying Cloud DrEden Prairie, MN 55344 · (952) 993-7470
Organization SubpartNo
Authorized OfficialDavid AbelsonPresident/ceo · (952) 993-5009
Enumeration DateJuly 10, 2010
NPI 1053623785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License Licensed in MN · 8510
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.
8455 FLYING CLOUD DR, Eden Prairie, MN 55344

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 Accreditation 24D0400452

Park Nicollet Clinic - Prairie Center · Eden Prairie, MN
Active · expires Dec 22, 2027
CLIA Number24D0400452
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorDr. Steven M. Debol
Laboratory Phone(952) 993-7462
Laboratory LocationPark Nicollet Clinic - Prairie Center8455 Flying Cloud Dr, Eden Prairie, MN 55344
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

Family Medicine
8455 FLYING CLOUD DR
EDEN PRAIRIE, MN 55344
Family Medicine
8455 FLYING CLOUD DR
EDEN PRAIRIE, MN 55344
Nurse Practitioner (Family)
8455 FLYING CLOUD DR
EDEN PRAIRIE, MN 55344
Family Medicine
8455 FLYING CLOUD DR, STE 200
EDEN PRAIRIE, MN 55344
Dentist
8455 FLYING CLOUD DR
EDEN PRAIRIE, MN 55344
Psychologist (Clinical Child & Adolescent)
8455 FLYING CLOUD DR, SUITE 205
EDEN PRAIRIE, MN 55344
Social Worker (Clinical)
8455 FLYING CLOUD DR, PARK NICOLLET CLINIC - PRAIRIE CENTER STE 200
EDEN PRAIRIE, MN 55344
Family Medicine
8455 FLYING CLOUD DR
EDEN PRAIRIE, MN 55344

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 Park Nicollet's NPI number?

The NPI number for Park Nicollet is 1053623785. It was assigned to this organization in the NPPES registry on July 10, 2010.

Where is Park Nicollet located?

Park Nicollet is located at 8455 Flying Cloud Dr, Eden Prairie, MN 55344. The listed phone number is (952) 993-7470.

What is Park Nicollet's specialty?

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

Does Park Nicollet hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 24D0400452) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Park Nicollet was last updated on July 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.