COMPCARE PHYSICAL THERAPY LLC
NPI 1396476032
Physical Therapist in Rochester, MN

Active since June 23, 2022CLIA 24D2130418 · Waiver
4224 W FRONTAGE RD N, ROCHESTER, MN 55901(651) 508-0936 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Physical Therapist
  • CLIA Number: 24D2264175
  • CLIA Cert. Type: Other - URGENT/OCCUPATIONAL MEDIC
  • CLIA Exp. Date: 07-11-2026

About COMPCARE PHYSICAL THERAPY LLC

This page provides the complete NPI Profile along with additional information for Compcare Physical Therapy Llc, a provider established in Rochester, Minnesota operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1396476032 assigned on June 2022. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Shannon Knox (Credentialing Manager)

NPI
1396476032 Verify this NPI
Provider Name
COMPCARE PHYSICAL THERAPY LLC
Entity Type
Organization
Location Address
4224 W FRONTAGE RD N ROCHESTER, MN 55901
Location Phone
(651) 508-0936
Mailing Address
4224 W FRONTAGE RD N ROCHESTER, MN 55901
Mailing Phone
(651) 508-0936
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-23-2022
Last Update Date
06-23-2022
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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

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHANNON KNOX

Authorized Official Title
CREDENTIALING MANAGER
Authorized Official Phone
(507) 405-2259

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
24D2264175
Facility Type
Other - URGENT/OCCUPATIONAL MEDIC
Certificate Effective Date
July 12, 2024
Certificate Expiration Date
July 11, 2026
Laboratory Director
COOPER RENDON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Compcare Physical Therapy Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396476032, enumerated as an "organization" on June 23, 2022.

The provider is located at 4224 W FRONTAGE RD N ROCHESTER, MN 55901 and the phone number is (651) 508-0936.

Physical Therapist with taxonomy code 225100000X.