Provider Demographics
NPI:1942405519
Name:ORENSTEIN, PHILIP (PT)
Entity type:Individual
Prefix:
First Name:PHILIP
Middle Name:
Last Name:ORENSTEIN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4999 FRANCE AVE S
Mailing Address - Street 2:SUITE 235
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55410-1703
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
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-15
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2384225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN58063OtherHP ID NO
MN6482096OtherMEDICA ID NO
MN1730178005OtherCORP NPI
MN411912266OtherTAX ID NO
MN29B68OROtherBCBS GROUP NO
MN411912266OtherTAX ID:
MN85641OtherPREONE ID NO
MN29B69OROtherBCBS ID#
MN411912266OtherTAX ID:
MN411912266OtherTAX ID:
MN58063OtherHP ID NO
MN6482096OtherMEDICA ID NO