Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.
THERAPY PARTNERS, INC.
Complete NPI Record 1407809494
Clinic/Center - Multi-Specialty in Stillwater, MN
Active since May 18, 2006
Complete NPI Dataset
This page contains the complete raw NPPES record for Therapy Partners, Inc. (NPI 1407809494), a clinic/center organization in Stillwater, MN. All 53 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1407809494 Field 1/53
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/53
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/53
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: THERAPY PARTNERS, INC. Field 4/53
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider First Line Business Mailing Address: 1939 MINNEHAHA AVE W STE 300 Field 5/53
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: SAINT PAUL Field 6/53
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: MN Field 7/53
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 551041033 Field 8/53
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 9/53
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 6517484338 Field 10/53
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 6517482892 Field 11/53
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 1700 TOWER DR W Field 12/53
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: STILLWATER Field 13/53
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: MN Field 14/53
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 550827511 Field 15/53
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 16/53
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 6512754706 Field 17/53
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 6514397173 Field 18/53
- The fax number associated with the location address of the provider being identified.
- Authorized Official Last Name: MORLEY HENJUM Field 21/53
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: MAGGIE Field 22/53
- The first name of the authorized official.
- Authorized Official Middle Name: LYNN Field 23/53
- The middle name of the authorized official.
- Authorized Official Title or Position: OWNER Field 24/53
- The title or position of the authorized official.
- Authorized Official Telephone Number: 6513487428 Field 25/53
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 225100000X Field 26/53
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: N Field 27/53
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 2: 2255A2300X Field 28/53
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 2: N Field 29/53
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 3: 225X00000X Field 30/53
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 3: N Field 31/53
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 4: 235Z00000X Field 32/53
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 4: N Field 33/53
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 5: 261Q00000X Field 34/53
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 5: N Field 35/53
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 6: 261QM1300X Field 36/53
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 6: Y Field 37/53
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 7: 261QP2000X Field 38/53
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 7: N Field 39/53
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Other Provider Identifier 1: 1407809494 Field 40/53
- An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
- Other Provider Identifier Type Code 1: 05 Field 41/53
- A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
- Other Provider Identifier State 1: MN Field 42/53
- The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
- Other Provider Identifier 2: CI8880 Field 43/53
- An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
- Other Provider Identifier Type Code 2: 01 Field 44/53
- A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
- Other Provider Identifier State 2: MN Field 45/53
- The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
- Other Provider Identifier Issuer 2: RAILROAD MEDICARE Field 46/53
- The name of the organization, agency, or health plan that assigned the additional provider identifier. This identifies who issued the number linked to Other Provider Identifier 1 (for example, a state Medicaid agency, Medicare, or a private insurance company).
- Is Organization Subpart: N Field 47/53
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Authorized Official Credential Text: PT, DPT Field 48/53
- The professional credential(s) of the authorized official listed on the provider's NPI record. Examples include MD (Doctor of Medicine), DO (Doctor of Osteopathy), RN (Registered Nurse), DDS (Doctor of Dental Surgery), PhD, or other recognized designations that reflect the official's qualifications.
- Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP Field 49/53
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
- Healthcare Provider Taxonomy Group 2: 193200000X MULTI-SPECIALTY GROUP Field 50/53
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
- Healthcare Provider Taxonomy Group 3: 193200000X MULTI-SPECIALTY GROUP Field 51/53
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
- Healthcare Provider Taxonomy Group 4: 193200000X MULTI-SPECIALTY GROUP Field 52/53
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Secondary Practice Locations 46
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
98 W 5th St Ste 1
Location 1/46Zumbrota, MN 55992-1649 · Phone (507) 732-4484 · Fax (507) 361-1590
2125 E Hennepin Ave Ste 300
Location 2/46Minneapolis, MN 55413-0001 · Phone (612) 767-9917 · Fax (612) 767-9918
14688 Everton Ave N Ste 101
Location 3/46Hugo, MN 55038-6072 · Phone (651) 275-4706 · Fax (651) 467-5942
66 E Saint Marie St
Location 4/46Duluth, MN 55803-2646 · Phone (218) 313-1387 · Fax (218) 999-0612
125 Elton Hills Dr NW
Location 5/46Rochester, MN 55901-3581 · Phone (507) 923-2139 · Fax (507) 923-2175
404 Highway 96 W Ste C
Location 6/46Shoreview, MN 55126-1956 · Phone (651) 275-4706 · Fax (651) 765-4108
2701 W Superior St Ste 112
Location 7/46Duluth, MN 55806-1885 · Phone (218) 727-1180 · Fax (844) 856-3737
1029 W Central Entrance
Location 8/46Duluth, MN 55811-5477 · Phone (218) 260-7775 · Fax (218) 206-7776
23490 Highway 7
Location 9/46Shorewood, MN 55331-3141 · Phone (612) 888-9882 · Fax (612) 888-9886
227 McKinley Ave
Location 10/46Eveleth, MN 55734-1606 · Phone (218) 481-7603 · Fax (218) 481-7601
15010 23rd Ave N
Location 11/46Plymouth, MN 55447-4710 · Phone (952) 521-0055 · Fax (952) 521-0056
5568 Clark Ave Ste 2
Location 12/46Cromwell, MN 55726-5004 · Phone (218) 644-0910 · Fax (218) 644-0911
4463 White Bear Pkwy Ste 108
Location 13/46White Bear Lake, MN 55110-7645 · Phone (651) 275-4706 · Fax (651) 653-5213
4135 Richard Ave Ste 102
Location 14/46Hermantown, MN 55811-2979 · Phone (218) 206-7775 · Fax (218) 206-7776
14100 Carlson Pkwy Ste 200
Location 15/46Plymouth, MN 55441-5312 · Phone (763) 519-7900 · Fax (763) 450-0202
10650 Red Circle Dr Ste 10
Location 16/46Minnetonka, MN 55343-9117 · Phone (651) 348-7428 · Fax (651) 348-7432
1605 Heritage Dr Ste 369
Location 17/46Northfield, MN 55057-3265 · Phone (651) 443-1918 · Fax (952) 206-7646
1939 Minnehaha Ave W Ste 100
Location 18/46Saint Paul, MN 55104-1033 · Phone (651) 348-7428 · Fax (651) 348-7432
401 16th St SE Ste 208
Location 19/46Rochester, MN 55904-7974 · Phone (507) 923-2139 · Fax (507) 923-2175
257 Rivertown Dr
Location 20/46Woodbury, MN 55125-7726 · Phone (651) 528-6461 · Fax (651) 528-6349
1351 Larc Industrial Blvd
Location 21/46Burnsville, MN 55337-1411 · Phone (952) 683-1745 · Fax (952) 206-7646
325 Bush St
Location 22/46Red Wing, MN 55066-2527 · Phone (952) 683-1745 · Fax (952) 206-7646
15160 Foliage Ave Ste 170
Location 23/46Apple Valley, MN 55124-5916 · Phone (952) 683-1745 · Fax (952) 683-1746
18055 198th Ave NW Unit B161
Location 24/46Big Lake, MN 55309-4926 · Phone (612) 200-0619 · Fax (612) 844-9108
600 Market St Ste 150
Location 25/46Chanhassen, MN 55317-4570 · Phone (952) 491-4700 · Fax (952) 491-4701
1961 Cardinal Ln Ste A
Location 26/46Faribault, MN 55021-4354 · Phone (507) 333-2986 · Fax (507) 333-2918
1614 Golf Course Rd
Location 27/46Grand Rapids, MN 55744-8681 · Phone (218) 999-7776 · Fax (218) 999-0612
601 Central Ave W Ste 102
Location 28/46Saint Michael, MN 55376-9711 · Phone (763) 595-1300 · Fax (763) 227-5703
1270 Northland Dr Ste 175
Location 29/46Mendota Heights, MN 55120-1412 · Phone (651) 905-9000 · Fax (651) 454-1603
375 Selby Ave Ste 63
Location 30/46Saint Paul, MN 55102-1822 · Phone (651) 348-7428 · Fax (651) 348-7432
14665 Galaxie Ave Ste 320
Location 31/46Apple Valley, MN 55124-4507 · Phone (952) 892-6777 · Fax (952) 892-0792
6529 Cecilia Cir
Location 32/46Edina, MN 55439-2719 · Phone (651) 348-7428 · Fax (651) 348-7432
333 Grand Ave Ste 103
Location 33/46Saint Paul, MN 55102-2584 · Phone (651) 294-2316 · Fax (651) 460-9193
2119 Cliff Rd
Location 34/46Eagan, MN 55122-2345 · Phone (651) 688-7500 · Fax (763) 260-7653
11995 Singletree Ln Ste 120
Location 35/46Eden Prairie, MN 55344-5338 · Phone (952) 373-5720 · Fax (763) 260-7653
9325 Upland Ln N Ste 230
Location 36/46Maple Grove, MN 55369-4450 · Phone (763) 315-0466 · Fax (763) 260-7653
433 Mendota Rd E
Location 37/46West Saint Paul, MN 55118-5104 · Phone (651) 275-4706 · Fax (651) 450-2211
7077 10th St N
Location 38/46Oakdale, MN 55128-5938 · Phone (651) 275-4706 · Fax (651) 735-3586
4791 County Road 10 Ste 102
Location 39/46Moose Lake, MN 55767-9221 · Phone (218) 485-2020 · Fax (218) 485-2044
1220 Villa Court Dr
Location 40/46Cromwell, MN 55726-4503 · Phone (218) 644-0910 · Fax (218) 644-0911
4316 Rice Lake Rd Ste 107
Location 41/46Duluth, MN 55811-2885 · Phone (218) 727-1180 · Fax (844) 856-3737
1325 Pelican Ln
Location 42/46Detroit Lakes, MN 56501-7089 · Phone (218) 847-7777 · Fax (218) 847-1764
8770 Springbrook Dr NW Ste 100
Location 43/46Coon Rapids, MN 55433-6100 · Phone (763) 231-1824 · Fax (612) 767-9918
4646 Colorado St SE Ste 2
Location 44/46Prior Lake, MN 55372-4548 · Phone (952) 936-9600 · Fax (952) 936-9536
402 Spruce St
Location 45/46Tower, MN 55790-5601 · Phone (218) 481-7603 · Fax (218) 481-7601
4956 Lincoln Dr
Location 46/46Edina, MN 55436-1071 · Phone (952) 936-9600 · Fax (952) 936-9536
Other Provider Identifiers 2
Legacy and payer-issued identifiers reported to the NPPES registry for this provider.
1407809494 Medicaid
Identifier 1/2State: MN
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
CI8880 Other
Identifier 2/2State: MN · Issuer: Railroad Medicare
Other: An additional provider identifier that does not correspond to any of the other defined identifier type categories.
Other: An additional provider identifier that does not correspond to any of the other defined identifier type categories.
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