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

Professional Physical Therapy PA

Organization Physical Therapist · NPI 1508902636

Professional Physical Therapy PA is a Physical Therapist in Burnsville, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13786 Frontier Ct #102
Burnsville, MN 55337
Phone: (952) 891-2645
Fax: (952) 997-3410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2187 (MN)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 2187 (MN)

Record details

NPI number1508902636
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Fricke — Owner · (952) 891-2645
Other names Pro Physical Therapy Pa
NPI enumeratedJanuary 29, 2007
Last updated in NPPESJune 23, 2008
Mailing address27 Marcin Hill, Burnsville, MN 55337

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