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INTERACTIVE THERAPY SERVICES OF MINNESOTA INC
NPI 1083005664
Speech-Language Pathologist in Plymouth, MN

Active since February 18, 2015
14425 8TH AVE N, PLYMOUTH, MN 55447(651) 260-9915 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2025, Dec 31, 2024 (2 updates tracked since 2024).

About Interactive Therapy Services Of Minnesota Inc NPPES

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

INTERACTIVE THERAPY SERVICES OF MINNESOTA INC (NPI 1083005664), doing business as Functional Kids Clinic, is a healthcare organization registered as a speech-language pathologist in Plymouth, Minnesota and active in the NPI registry since February 2015. The organization lists Julie Ernest, President/owner, as its authorized official.

NPPES Registry Identity

NPI1083005664
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameINTERACTIVE THERAPY SERVICES OF MINNESOTA INC
Location Address14425 8TH AVE NPlymouth, MN 55447-4456
Mailing Address14425 8th Ave NPlymouth, MN 55447-4456 · (651) 260-9915
Phone(651) 260-9915
Organization SubpartNo
Authorized OfficialJulie ErnestPresident/owner · (651) 770-8884
Enumeration DateFebruary 18, 2015
Last NPPES UpdateSeptember 2, 20252 updates tracked since enumeration
NPPES CertifiedDecember 31, 2024
✔ NPI 1083005664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MN · 6402
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
14425 8TH AVE N, Plymouth, MN 55447
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Other Names 1

Doing Business AsFunctional Kids Clinic

Other Identifiers 3

Medicaid004292700MN
Other181363MN · Ucare
Other6HS76FUMN · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES 2

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

ERIC WILLIAM ERNEST MS
Speech-Language Pathologist
14425 8TH AVE N
PLYMOUTH, MN 55447
Hennepin County (763) 607-2091
JULIE K ERNEST CCC-SLP
Speech-Language Pathologist
14425 8TH AVE N
PLYMOUTH, MN 55447
Hennepin County (651) 260-9915

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 Interactive Therapy Services Of Minnesota Inc's NPI number?

The NPI number for Interactive Therapy Services Of Minnesota Inc is 1083005664. It was assigned to this organization in the NPPES registry on February 18, 2015. The provider is doing business as Functional Kids Clinic.

Where is Interactive Therapy Services Of Minnesota Inc located?

Interactive Therapy Services Of Minnesota Inc is located at 14425 8th Ave N, Plymouth, MN 55447. The listed phone number is (651) 260-9915.

What is Interactive Therapy Services Of Minnesota Inc's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

What insurance does Interactive Therapy Services Of Minnesota Inc accept?

Health plans from Medica list Interactive Therapy Services Of Minnesota Inc 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 Interactive Therapy Services Of Minnesota Inc was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.