Provider Demographics
NPI:1093261174
Name:NETWORK THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:NETWORK THERAPY SERVICES, LLC
Other - Org Name:CENTREX REHAB II
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-495-6001
Mailing Address - Street 1:8120 PENN AVE S
Mailing Address - Street 2:SUITE 227
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55431-1358
Mailing Address - Country:US
Mailing Address - Phone:952-495-6001
Mailing Address - Fax:952-346-8680
Practice Address - Street 1:2746 SUPERIOR DR NW
Practice Address - Street 2:SUITE 300
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-8343
Practice Address - Country:US
Practice Address - Phone:952-495-6001
Practice Address - Fax:952-346-8680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-29
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
246548Medicare Oscar/Certification