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CAPERNAUM PEDIATRIC THERAPY, INC.
NPI 1619978228
Specialist in Richfield, MN

Active since August 04, 2005
6625 LYNDALE AVE S STE 430, RICHFIELD, MN 55423(952) 285-2840(952) 285-2830 Get Directions Write a Review

NPPES record last updated: February 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Capernaum Pediatric Therapy, Inc. NPPES

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

CAPERNAUM PEDIATRIC THERAPY, INC. (NPI 1619978228) is a healthcare organization registered as a specialist in Richfield, Minnesota and active in the NPI registry since August 2005. The organization lists Bonna Olson, Physical Therapist/owner, as its authorized official.

NPPES Registry Identity

NPI1619978228
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCAPERNAUM PEDIATRIC THERAPY, INC.
Location Address6625 LYNDALE AVE S STE 430Richfield, MN 55423-2373
Mailing Address6625 Lyndale Ave S Ste 430Richfield, MN 55423-2373 · (952) 285-2840 · Fax (952) 285-2830
Phone(952) 285-2840
Fax(952) 285-2830
Organization SubpartNo
Authorized OfficialBonna OlsonPhysical Therapist/owner · (952) 285-2840
Enumeration DateAugust 4, 2005
Last NPPES UpdateFebruary 13, 2020
✔ NPI 1619978228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MN · 2304
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
6625 LYNDALE AVE S STE 430, Richfield, MN 55423
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES 14

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

JEANNA DWYER PT
Physical Therapist
6625 LYNDALE AVE S STE 430
RICHFIELD, MN 55423
Hennepin County (952) 285-2840
ANNAMARIE JUMP COTA/L
Occupational Therapy Assistant
6625 LYNDALE AVE S STE 430
RICHFIELD, MN 55423
Hennepin County (952) 285-2840
KRISTIN MARIE RIES OTD, OTR/L
Occupational Therapist (Pediatrics)
6625 LYNDALE AVE S STE 430
RICHFIELD, MN 55423
Hennepin County (952) 285-2840
LAURA GERDTS-SAATHOFF OTD, OTR/L
Occupational Therapist
6625 LYNDALE AVE S STE 430
RICHFIELD, MN 55423
Hennepin County (952) 285-2840
MARY ELYSE KELLY M.S., CCC-SLP
Speech-Language Pathologist
6625 LYNDALE AVE S STE 430
RICHFIELD, MN 55423
Hennepin County (952) 285-2840
CAROL ROSE WELTON OTR/L
Occupational Therapist
6625 LYNDALE AVE S STE 430
RICHFIELD, MN 55423
Hennepin County (952) 285-2840
ERIN VIERLING DPT
Physical Therapist
6625 LYNDALE AVE S STE 430
RICHFIELD, MN 55423
Hennepin County (952) 285-2840
LEAH RENEE MEIDT
Speech-Language Pathologist
6625 LYNDALE AVE S STE 430
RICHFIELD, MN 55423
Hennepin County (952) 285-2840

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 Capernaum Pediatric Therapy, Inc.'s NPI number?

The NPI number for Capernaum Pediatric Therapy, Inc. is 1619978228. It was assigned to this organization in the NPPES registry on August 4, 2005.

Where is Capernaum Pediatric Therapy, Inc. located?

Capernaum Pediatric Therapy, Inc. is located at 6625 Lyndale Ave S Ste 430, Richfield, MN 55423. The listed phone number is (952) 285-2840.

What is Capernaum Pediatric Therapy, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Capernaum Pediatric Therapy, Inc. accept?

Health plans from Medica list Capernaum Pediatric Therapy, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Capernaum Pediatric Therapy, Inc. was last updated on February 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.