MINNESOTA MEDICAL AND REHABILITATIVE SERVICES, LLC
NPI 1154302545
Physical Therapist in St. Louis Park, MN

Active since November 11, 2005
4201 EXCELSIOR BLVD, ST. LOUIS PARK, MN 55416(952) 564-3880(952) 945-9536 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 18, 2025, Nov 30, 2022, May 28, 2022 and 2 more (5 updates tracked since 2017).

About Minnesota Medical And Rehabilitative Services, Llc NPPES

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

MINNESOTA MEDICAL AND REHABILITATIVE SERVICES, LLC (NPI 1154302545), doing business as Minnesota Medical And Rehabilitation, is a healthcare organization registered as a physical therapist in St. Louis Park, Minnesota and active in the NPI registry since November 2005. The organization lists Leon B Frid, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1154302545
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameMINNESOTA MEDICAL AND REHABILITATIVE SERVICES, LLC
Location Address4201 EXCELSIOR BLVDSt. Louis Park, MN 55416-4728
Mailing Address4201 Excelsior BlvdSt. Louis Park, MN 55416-4728 · (952) 564-3880 · Fax (952) 945-9536
Fax(952) 945-9536
Organization SubpartNo
Authorized OfficialLeon B FridManaging Partner · (952) 564-3880
Enumeration DateNovember 11, 2005
Last NPPES UpdateNovember 30, 20225 updates tracked since enumeration
NPPES CertifiedNovember 30, 2022
✔ NPI 1154302545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses✔ Licensed in MN · 1544✔ Licensed in MN · 5806✔ Licensed in MN · 2264
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedOccupational TherapistTaxonomy 225X00000X · License 102980 (MN)
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X · License 5169 (MN), 6034 (MN)
4201 EXCELSIOR BLVD, St. Louis Park, MN 55416

Other Names 1

Doing Business AsMinnesota Medical And Rehabilitation

Other Identifiers 2

Medicaid407858600MN
Medicaid1154302545MN

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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 Medical And Rehabilitative Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Minnesota Medical And Rehabilitative Services, LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 11 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 12

Internal Medicine3
Chiropractic2
Clinical Social Worker2
Family Practice2
Clinical Psychologist1
Dermatology1
Nurse Practitioner1
Pain Management1
4 other specialties4

Clinicians, nearest first (17)

Chiropractic
NPI 1538766324
4201 EXCELSIOR BLVD
St Louis Park, MN 55416
(952) 933-8900
Same address
Clinical Psychologist
NPI 1124124045
4201 EXCELSIOR BLVD
St Louis Park, MN 55416
(952) 933-8900
✔ PECOS✔ Accepts MedicareSame address
Chiropractic
NPI 1285205351
4201 EXCELSIOR BLVD
St Louis Park, MN 55416
(952) 933-8900
✔ Accepts MedicareSame address
Family Practice
NPI 1164734471
4201 EXCELSIOR BLVD
St Louis Park, MN 55416
(952) 933-8900
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1568404440
4201 EXCELSIOR BLVD
Saint Louis Park, MN 55416
(952) 933-8900
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1003599614
5320 W 23RD ST STE 130
St Louis Park, MN 55416
(952) 345-8770
✔ PECOS1.8 mi
Registered Dietitian or Nutrition Professional
NPI 1528211836
4330 CEDAR LAKE RD S
St Louis Park, MN 55416
(952) 381-3434
2.0 mi
Physical Medicine and Rehabilitation
NPI 1396905212
4330 CEDAR LAKE RD S
St Louis Park, MN 55416
(952) 381-3434
✔ PECOS✔ Accepts Medicare2.0 mi
Physical Therapist in Private Practice
NPI 1982648051
3015 UTAH AVE S SUITE 200
Saint Louis Park, MN 55426
(952) 933-1121
✔ Accepts Medicare2.5 mi
Pain Management
NPI 1942251822
701 PARK AVE
Minneapolis, MN 55415
(612) 873-3000
✔ PECOS✔ Accepts Medicare4.3 mi
Internal Medicine
NPI 1578576021
2001 BLOOMINGTON AVE
Minneapolis, MN 55404
(612) 638-0700
✔ PECOS✔ Accepts Medicare4.4 mi
Psychiatry
NPI 1043265689
45 10TH ST W
Saint Paul, MN 55102
(651) 232-3640
✔ PECOS✔ Accepts Medicare11 mi
Clinical Social Worker
NPI 1548809890
6741 SHINGLE CREEK DR
Brooklyn Park, MN 55445
(612) 360-5547
✔ PECOS✔ Accepts Medicare11 mi
Clinical Social Worker
NPI 1811281645
2385 ARIEL ST N
Maplewood, MN 55109
(651) 528-6169
✔ PECOS17 mi
Internal Medicine
NPI 1508818824
967 SOUTH LAKE STREET
Forest Lake, MN 55025
(651) 464-1113
✔ PECOS✔ Accepts Medicare29 mi
Dermatology
NPI 1417944349
18601 LINCOLN ST
Whitehall, WI 54773
(715) 538-4361
✔ PECOS✔ Accepts Medicare107 mi
Family Practice
NPI 1841277837
1101 S. WINCHESTER BLVD., N-267
San Jose, CA 95128
(763) 245-3002
✔ PECOS1,574 mi

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 Medical And Rehabilitative Services, LLC's NPI number?

The NPI number for Minnesota Medical And Rehabilitative Services, LLC is 1154302545. It was assigned to this organization in the NPPES registry on November 11, 2005. The provider is doing business as Minnesota Medical and Rehabilitation.

Where is Minnesota Medical And Rehabilitative Services, LLC located?

Minnesota Medical And Rehabilitative Services, LLC is located at 4201 Excelsior Blvd, St. Louis Park, MN 55416. The listed phone number is (952) 564-3880.

What is Minnesota Medical And Rehabilitative Services, LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Minnesota Medical And Rehabilitative Services, LLC enrolled in Medicare?

Yes. Minnesota Medical And Rehabilitative Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Minnesota Medical And Rehabilitative Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 12 Medicare specialties reassign their Medicare billing to Minnesota Medical And Rehabilitative Services, LLC. 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. The largest specialties are Internal Medicine (3), Chiropractic (2) and Clinical Social Worker (2). Of these, 5 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Minnesota Medical And Rehabilitative Services, LLC accept?

Health plans from HealthPartners list Minnesota Medical And Rehabilitative Services, LLC 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 Minnesota Medical And Rehabilitative Services, LLC was last updated on November 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.