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IAN PROVENCE DPT
NPI 1225849870
Physical Therapist - Orthopedic in Coon Rapids, MN

Active since January 14, 2025
9055 SPRINGBROOK DR NW, COON RAPIDS, MN 55433(763) 228-2781 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ian Provence Dpt NPPES

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

IAN PROVENCE DPT (NPI 1225849870) is an individual orthopedic provider in Coon Rapids, Minnesota and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1225849870
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameIAN PROVENCECredential: DPT
Location Address9055 SPRINGBROOK DR NWCoon Rapids, MN 55433-5841
Mailing Address7226 58th Ave NMinneapolis, MN 55428-3222
Phone(763) 228-2781
Sole ProprietorNo
Enumeration DateJanuary 14, 2025
NPPES CertifiedJanuary 14, 2025
✔ NPI 1225849870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
9055 SPRINGBROOK DR NW, Coon Rapids, MN 55433
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLYTHE ELLEN NELSON LICSW
Social Worker (Clinical)
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (763) 780-9155
DR. SUZANNE T WITTERHOLT MD
Psychiatry & Neurology (Pain Medicine)
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (763) 780-9155
ABBY O'KEEFE STANISLAW PSYD
Psychologist (Clinical)
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (763) 780-9155
MONICA YUE AUD
Audiologist
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (763) 780-9155
EMILY BUTLER STRANGE DPT
Physical Therapist
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (763) 780-9155
MARK H. BRAKKE MD
Family Medicine
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (763) 780-9155
NATALIA YAZIGI M.D.
Internal Medicine
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (763) 780-9155
STEPHANIE LANE FENNESSEY MS, RD, LD, CDE
Dietitian, Registered
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (763) 780-9155

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 Ian Provence's NPI number?

The NPI number for Ian Provence is 1225849870. It was assigned to this individual provider in the NPPES registry on January 14, 2025.

Where is Ian Provence located?

Ian Provence practices at 9055 Springbrook Dr NW, Coon Rapids, MN 55433. The listed phone number is (763) 228-2781.

What is Ian Provence's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Ian Provence was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.