1. Home
  2. Directory
  3. Minnesota
  4. Rogers
  5. Clinic Center
  6. NPI Profile

NORTHWAY ACADEMY, INC.
NPI 1790665917
Clinic/Center - Developmental Disabilities in Rogers, MN

Active since September 08, 2025
14000 NORTHDALE BLVD, ROGERS, MN 55374(763) 328-2782(763) 328-2782 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Northway Academy, Inc. NPPES

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

NORTHWAY ACADEMY, INC. (NPI 1790665917) is a healthcare organization registered as a developmental disabilities in Rogers, Minnesota and active in the NPI registry since September 2025. The organization lists Mary Patricia Rodenberg-roberts, Vp & Sr Asst General Counsel, as its authorized official.

NPPES Registry Identity

NPI1790665917
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameNORTHWAY ACADEMY, INC.
Location Address14000 NORTHDALE BLVDRogers, MN 55374-4662
Mailing Address6600 France Ave S Ste 350Edina, MN 55435-1810 · (800) 388-5150 · Fax (952) 922-6885
Phone(763) 328-2782
Fax(763) 328-2782
Organization SubpartNo
Authorized OfficialMary Patricia Rodenberg-robertsVp & Sr Asst General Counsel · (952) 836-2234
Enumeration DateSeptember 8, 2025
NPPES CertifiedSeptember 7, 2025
✔ NPI 1790665917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Also ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X

Other Providers at the Same Location NPPES 5

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

KIMBERLY HOPE-LYNN BONNESON
Behavior Technician
14000 NORTHDALE BLVD, SUITE A
ROGERS, MN 55374
Hennepin County (763) 428-2478
VICTORIA ELAINE LARKIN OTR
Occupational Therapist
14000 NORTHDALE BLVD
ROGERS, MN 55374
Hennepin County (952) 544-0349
BROOKLYN KAIN
Behavior Technician
14000 NORTHDALE BLVD
ROGERS, MN 55374
Hennepin County (763) 428-2478
HAYLEE JEAN OAKES
Behavior Technician
14000 NORTHDALE BLVD
ROGERS, MN 55374
Hennepin County (763) 428-2478
TESSA BAKEN
Behavior Technician
14000 NORTHDALE BLVD
ROGERS, MN 55374
Hennepin County (763) 428-2478

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 Northway Academy, Inc.'s NPI number?

The NPI number for Northway Academy, Inc. is 1790665917. It was assigned to this organization in the NPPES registry on September 8, 2025.

Where is Northway Academy, Inc. located?

Northway Academy, Inc. is located at 14000 Northdale Blvd, Rogers, MN 55374. The listed phone number is (763) 328-2782.

What is Northway Academy, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Northway Academy, Inc. was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.