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

Eagle Therapy LLC

Organization Early Intervention Provider Agency · NPI 1114755923

Eagle Therapy LLC is an Early Intervention Provider Agency in Roseville, Minnesota. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2745 Herschel St N A109
Roseville, MN 55113
Phone: (614) 596-3566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Disabilities Clinic/Center (primary) Taxonomy 261QD1600X
Early Intervention Provider Agency Taxonomy 252Y00000X

Record details

NPI number1114755923
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Omar Eleye — Ceo · (614) 596-3566
NPI enumeratedJuly 23, 2024
Last updated in NPPESJuly 23, 2024
Certification dateJuly 13, 2024
Mailing address3800 American Blvd W Ste 1500, Bloomington, MN 55431-4429

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