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

Q: 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.

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: October 25, 2026.

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

On this page

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Interactive Therapy Services Of Minnesota Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Interactive Therapy Services Of Minnesota Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Julie Ernest, CCC-SLP

Qualified Speech Language Pathologist

NPI 1821187485

14425 8TH AVE N
Plymouth, MN 55447

(651) 260-9915

✔ Accepts MedicareSame address

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

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.

Is Interactive Therapy Services Of Minnesota Inc enrolled in Medicare?

Yes. Interactive Therapy Services Of Minnesota Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Interactive Therapy Services Of Minnesota Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Qualified Speech Language Pathologist) reassigns their Medicare billing to Interactive Therapy Services Of Minnesota Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 13 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.