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

Sports Orthopedic Advanced Rehabilitation, LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1780910802

Sports Orthopedic Advanced Rehabilitation, LLC is a Physical Medicine & Rehabilitation Physician in Eagan, Minnesota. Works from 3 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4660 Slater Rd Ste 240
Eagan, MN 55122
Phone: (952) 223-3339
Fax: (952) 314-1401
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4660 Slater Rd Ste 240, Eagan, MN 55122 — (952) 223-3339
  • 825 Nicollet Mall, Minneapolis, MN 55402-2604 — (952) 223-3339

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 39052 (MN)

Record details

NPI number1780910802
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Teresa Gurin — President · (952) 223-3339
NPI enumeratedOctober 23, 2009
Last updated in NPPESNovember 7, 2019
Mailing address4660 Slater Rd Ste 240, Eagan, MN 55122-4047

Other providers in Eagan