Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Active Therapy Mn

Organization Physical Therapist · NPI 1730835257

Active Therapy Mn is a Physical Therapist in Eden Prairie, Minnesota. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3
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Practice location Address checks out

10300 Hennepin Town Rd
Eden Prairie, MN 55347-5100
Phone: (612) 562-8204
Fax: (763) 328-0111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1730835257
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sheldon Hollander — Managing Member · (612) 562-8204
NPI enumeratedFebruary 23, 2022
Last updated in NPPESMarch 22, 2022
Certification dateMarch 22, 2022
Mailing address6633 N Lincoln Ave, Lincolnwood, IL 60712-3605

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