1. Home
  2. Directory
  3. Minnesota
  4. Eagan
  5. Rehabilitation Practitioner
  6. NPI Profile

CENTER FOR PRIMARY CARE AND REHABILITATION, PA
NPI 1780963355
Rehabilitation Practitioner in Eagan, MN

Active since August 12, 2011
880 BLUE GENTIAN RD STE 165, EAGAN, MN 55121(651) 789-8022(651) 789-8028 Get Directions Write a Review

NPPES record last updated: August 12, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Center For Primary Care And Rehabilitation, Pa NPPES

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

CENTER FOR PRIMARY CARE AND REHABILITATION, PA (NPI 1780963355) is a healthcare organization registered as a rehabilitation practitioner in Eagan, Minnesota and active in the NPI registry since August 2011. The organization lists Elena Lev Polukhin, Owner/medical Director, as its authorized official.

NPPES Registry Identity

NPI1780963355
Entity TypeOrganization
Primary Taxonomy225400000X
Legal Business NameCENTER FOR PRIMARY CARE AND REHABILITATION, PA
Location Address880 BLUE GENTIAN RD STE 165Eagan, MN 55121-1772
Mailing Address3006 Frank StMaplewood, MN 55109-5501 · (651) 789-8022 · Fax (651) 789-8028
Phone(651) 789-8022
Fax(651) 789-8028
Organization SubpartNo
Authorized OfficialElena Lev PolukhinOwner/medical Director · (651) 789-8022
Enumeration DateAugust 12, 2011
✔ NPI 1780963355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
License✔ Licensed in MN · 45600
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
880 BLUE GENTIAN RD STE 165, Eagan, MN 55121
Open in Google Maps ↗

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

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 Center For Primary Care And Rehabilitation, PA's NPI number?

The NPI number for Center For Primary Care And Rehabilitation, PA is 1780963355. It was assigned to this organization in the NPPES registry on August 12, 2011.

Where is Center For Primary Care And Rehabilitation, PA located?

Center For Primary Care And Rehabilitation, PA is located at 880 Blue Gentian Rd Ste 165, Eagan, MN 55121. The listed phone number is (651) 789-8022.

What is Center For Primary Care And Rehabilitation, PA's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Center For Primary Care And Rehabilitation, PA was last updated on August 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.