EAGLE THERAPY LLC
NPI 1114755923
Clinic/Center - Developmental Disabilities in Roseville, MN

Active since July 23, 2024
2745 HERSCHEL ST N, A109, ROSEVILLE, MN 55113(614) 596-3566 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eagle Therapy Llc NPPES

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

EAGLE THERAPY LLC (NPI 1114755923) is a healthcare organization registered as a developmental disabilities in Roseville, Minnesota and active in the NPI registry since July 2024. The organization lists Omar Eleye, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114755923
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameEAGLE THERAPY LLC
Location Address2745 HERSCHEL ST N, A109Roseville, MN 55113
Mailing Address3800 American Blvd W Ste 1500Bloomington, MN 55431-4429 · (614) 596-3566
Organization SubpartNo
Authorized OfficialOmar EleyeCeo · (614) 596-3566
Enumeration DateJuly 23, 2024
NPPES CertifiedJuly 13, 2024
NPI 1114755923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

Also ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X
2745 HERSCHEL ST N, Roseville, MN 55113

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 Eagle Therapy LLC's NPI number?

The NPI number for Eagle Therapy LLC is 1114755923. It was assigned to this organization in the NPPES registry on July 23, 2024.

Where is Eagle Therapy LLC located?

Eagle Therapy LLC is located at 2745 Herschel St N A109, Roseville, MN 55113. The listed phone number is (614) 596-3566.

What is Eagle Therapy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Eagle Therapy LLC was last updated on July 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.