MEDICARE: SPECTRUMWORKS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	252Y00000X	Early Intervention Provider Agency
2	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1144935891
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPECTRUMWORKS LLC

Provider Business Mailing Address
First Line	:	10101 BREN RD E UNIT 107
Second Line	:
City	:	MINNETONKA
State	:	MN
Zip	:	55343-0029
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1330 81ST AVE NE
Second Line	:
City	:	SPRING LAKE PARK
State	:	MN
Zip	:	55432-2116
Country	:	US
Telephone Number	:	612-886-5794
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ABDIRAHMAN ABDINOOR
Credential	:
Telephone Number	:	612-886-5794

Provider Enumeration Date	:	01/17/2023
Last Update Date	:	04/17/2026

Similar Medicare Providers

1700821923 — MICHAEL ALAN KOHOUT D.C.
Practice Location Address:

1342 81ST AVE NE
SPRING LAKE PARK, MN
55432-2116

Practice Phone: 763-784-3916
Practice Fax: 763-784-3829

1710902028 — CENTRAL CHIROPRACTIC & ACUPUNCTURE, P.A.
Practice Location Address:

1342 81ST AVE NE
SPRING LAKE PARK, MN
55432-2116

Practice Phone: 763-784-3916
Practice Fax: 763-784-3829

1588744304 — JOHN DWIGHT FERGUSON LICSW
Practice Location Address:

1340 81ST AVE NE
SPRING LAKE PARK, MN
55432-2116

Practice Phone: 763-783-4528
Practice Fax: 763-786-9729

1467696872 — JOHN FERGUSON LICSW LLC
Practice Location Address:

1340 81ST AVE NE
SPRING LAKE PARK, MN
55432-2116

Practice Phone: 763-783-4528
Practice Fax:

1851636716 — DR. JAMES D JESSEN D.C.
Practice Location Address:

1312 81ST AVE NE
SPRING LAKE PARK, MN
55432-2116

Practice Phone: 763-780-0112
Practice Fax:

1245982651 — RECOVERY HEALTH SERVICES, LLC
Practice Location Address:

1310 81ST AVE NE
SPRING LAKE PARK, MN
55432-2116

Practice Phone: 952-495-2863
Practice Fax:

Directions to “SPECTRUMWORKS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.