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

Viverant, LLC

Organization Physical Therapist · NPI 1700237450

Viverant, LLC is a Physical Therapist in Lakeville, Minnesota. Registered with an NPI since 2016.

In the registry since
2016
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

21034 Heron Way Ste 102
Lakeville, MN 55044-8093
Phone: (952) 835-4512
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1700237450
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationViverant PT LLC
Authorized official Michael Lanham — Director · (952) 835-4512
Other names Viverant; Viverant
NPI enumeratedJune 23, 2016
Last updated in NPPESJune 1, 2020
Certification dateJune 1, 2020
Mailing address1769 Lexington Ave N, 286, Roseville, MN 55113-6522

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