Provider Demographics
NPI:1730178005
Name:ORENSTEIN PHYSICAL THERAPY
Entity type:Organization
Organization Name:ORENSTEIN PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:M
Authorized Official - Last Name:ORENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:612-333-1133
Mailing Address - Street 1:222 N 2ND ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55401-1492
Mailing Address - Country:US
Mailing Address - Phone:612-333-1133
Mailing Address - Fax:612-333-0033
Practice Address - Street 1:4388 FRANCE AVE S STE 220
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55410-1301
Practice Address - Country:US
Practice Address - Phone:612-333-1133
Practice Address - Fax:612-333-0033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-19
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2384174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1386623304OtherMARGI'S NPI
MN29B69OROtherBCBS ID
MN85641OtherPREFERREDONE ID
MN6482096OtherMEDICA ID
MN58063OtherHEALTHPARTNERS ID
MN650000100Medicare ID - Type UnspecifiedMEDICARE PHIL
MN29B69OROtherBCBS ID
MN650000965Medicare ID - Type UnspecifiedMERIDITH'S MEDICARE ID