LOON STATE PHYSICAL THERAPY
NPI 1194314401
Clinic/Center - Physical Therapy in Minneapolis, MN

Active since January 12, 2021
4420 DREW AVE S, MINNEAPOLIS, MN 55410(612) 405-8503 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Loon State Physical Therapy NPPES

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

LOON STATE PHYSICAL THERAPY (NPI 1194314401) is a healthcare organization registered as a physical therapy in Minneapolis, Minnesota and active in the NPI registry since January 2021. The organization maintains a secondary practice location in Minneapolis and lists Andrew Eccles, Owner, as its authorized official.

NPPES Registry Identity

NPI1194314401
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameLOON STATE PHYSICAL THERAPY
Location Address4420 DREW AVE SMinneapolis, MN 55410-1337
Mailing Address5800 12th Ave SMinneapolis, MN 55417-3239
Organization SubpartNo
Authorized OfficialAndrew EcclesOwner · (612) 805-2676
Enumeration DateJanuary 12, 2021
NPPES CertifiedJanuary 12, 2021
NPI 1194314401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition

An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

4420 DREW AVE S, Minneapolis, MN 55410

Secondary Practice Location 1

Location 12400 N 2nd St Ste 108Minneapolis, MN 55411-2243 · Phone (612) 405-8503

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 Loon State Physical Therapy's NPI number?

The NPI number for Loon State Physical Therapy is 1194314401. It was assigned to this organization in the NPPES registry on January 12, 2021.

Where is Loon State Physical Therapy located?

Loon State Physical Therapy is located at 4420 Drew Ave S, Minneapolis, MN 55410. The listed phone number is (612) 405-8503.

What is Loon State Physical Therapy's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

When was this NPI record last updated?

The NPPES record for Loon State Physical Therapy was last updated on January 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.