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

Q: What is the provider's specialty?

The provider's specialty is Physical Therapist with taxonomy code 2251X0800X and a focus in Orthopedic.

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: July 19, 2026.

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NPI Profile Information
Primary Taxonomy
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Physical Therapist
Orthopedic

About IAN PROVENCE

This page provides the complete NPI Profile along with additional information for Ian Provence, a provider established in Coon Rapids, Minnesota with a medical specialization in Physical Therapist, focusing in orthopedic . The healthcare provider is registered in the NPI registry with number 1225849870 assigned on January 2025. The practitioner's primary taxonomy code is 2251X0800X. The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI: 1225849870 Verify this NPI
Provider Name: IAN PROVENCE DPT
Gender: Male
Entity Type: Individual
Location Address: 9055 SPRINGBROOK DR NW COON RAPIDS, MN 55433
Location Phone: (763) 228-2781
Mailing Address: 7226 58TH AVE N MINNEAPOLIS, MN 55428
Is Sole Proprietor?: No
Enumeration Date: 01-14-2025
Last Update Date: 01-14-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Physical Therapist Orthopedic
Taxonomy Code: 2251X0800X
Type: Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description: 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.