ESSENTIA HEALTH MENAHGA THERAPY
NPI 1710403639
Physical Therapist in Menahga, MN

NPI Status: Active since August 22, 2017

Contact Information

212 ASPEN AVE NE
MENAHGA, MN
ZIP 56464
Phone: (218) 564-4131
Fax: (218) 564-5287

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  • Organization
  • Physical Therapist
  • CLIA Number: 24D0670411
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 09-30-2027

About ESSENTIA HEALTH MENAHGA THERAPY

This page provides the complete NPI Profile along with additional information for Essentia Health Menahga Therapy, a provider established in Menahga, Minnesota operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1710403639 assigned on August 2017. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Essentia Health Menahga Therapy operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Essentia Health Menahga Therapy. The authorized official of this NPI record is Ryan Hill (Cfo)

NPI
1710403639
Provider Legal Name
ST MARY'S REGIONAL HEALTH CENTER
Other Organization Name
ESSENTIA HEALTH MENAHGA THERAPY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
212 ASPEN AVE NE MENAHGA, MN 56464
Location Phone
(218) 564-4131
Location Fax
(218) 564-5287
Mailing Address
1702 UNIVERSITY DR S MEDICAL STAFF SERVICES-SSC FARGO, ND 58103
Mailing Phone
(701) 364-8177
Mailing Fax
(218) 564-5287
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-22-2017
Last Update Date
05-17-2019
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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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

 
2235Z00000XSpeech, Language and Hearing Service Providers

Speech-Language Pathologist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

RYAN HILL

Authorized Official Title
CFO
Authorized Official Phone
(218) 847-5611

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
24D0670411
Facility Type
Rural Health Clinic
Certificate Effective Date
October 01, 2025
Certificate Expiration Date
September 30, 2027
Laboratory Director
AARON W. SYKES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Essentia Health Menahga Therapy 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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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1710403639, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
4
Doubled → 8
Pos 6
0
Unchanged
Pos 7
3
Doubled → 6
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 4 → 8 3 → 6 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 2 + 0 + 8 + 0 + 6 + 6 + 6 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1710403639.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies
212 ASPEN AVE NE
MENAHGA, MN 56464
Family Medicine
212 ASPEN AVE NE
MENAGHA, MN 56464
Clinic/Center (Rural Health)
212 ASPEN AVE NE
MENAHGA, MN 56464

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710403639, enumerated as an "organization" on August 22, 2017.

The provider is located at 212 ASPEN AVE NE MENAHGA, MN 56464 and the phone number is (218) 564-4131.

Physical Therapist with taxonomy code 225100000X.