MINNESOTA NEUROREHABILITATION INSTITUTE, PLLC
NPI 1083253991
Physical Medicine & Rehabilitation - Brain Injury Medicine in Edina, MN

Active since December 26, 2019
7400 METRO BLVD STE 400, EDINA, MN 55439(612) 999-1908 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 6, 2024, Mar 18, 2020, Dec 26, 2019 (3 updates tracked since 2019).

About Minnesota Neurorehabilitation Institute, Pllc NPPES

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

MINNESOTA NEUROREHABILITATION INSTITUTE, PLLC (NPI 1083253991) is a healthcare organization registered as a brain injury medicine in Edina, Minnesota and active in the NPI registry since December 2019. The organization lists Steven Lockman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083253991
Entity TypeOrganization
Primary Taxonomy2081P0301X
Legal Business NameMINNESOTA NEUROREHABILITATION INSTITUTE, PLLC
Location Address7400 METRO BLVD STE 400Edina, MN 55439-2326
Mailing Address4428 Brookside AveEdina, MN 55436-1507 · (612) 850-8278
Organization SubpartNo
Authorized OfficialSteven LockmanCeo · (612) 850-8278
Enumeration DateDecember 26, 2019
Last NPPES UpdateDecember 6, 20243 updates tracked since enumeration
NPPES CertifiedDecember 6, 2024
✔ NPI 1083253991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Brain Injury MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P0301X
Definition
A Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
7400 METRO BLVD STE 400, Edina, MN 55439

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Minnesota Neurorehabilitation Institute, Pllc 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 Minnesota Neurorehabilitation Institute, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Medicine and Rehabilitation
NPI 1689614794
7400 METRO BLVD
Edina, MN 55439
(952) 999-1908
✔ PECOS✔ 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 Minnesota Neurorehabilitation Institute, PLLC's NPI number?

The NPI number for Minnesota Neurorehabilitation Institute, PLLC is 1083253991. It was assigned to this organization in the NPPES registry on December 26, 2019.

Where is Minnesota Neurorehabilitation Institute, PLLC located?

Minnesota Neurorehabilitation Institute, PLLC is located at 7400 Metro Blvd Ste 400, Edina, MN 55439. The listed phone number is (612) 999-1908.

What is Minnesota Neurorehabilitation Institute, PLLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Brain Injury Medicine, with taxonomy code 2081P0301X.

Is Minnesota Neurorehabilitation Institute, PLLC enrolled in Medicare?

Yes. Minnesota Neurorehabilitation Institute, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Minnesota Neurorehabilitation Institute, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Minnesota Neurorehabilitation Institute, PLLC. 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 Minnesota Neurorehabilitation Institute, PLLC was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.