MEDICARE: REBOUND PHYSICAL THERAPY, INC.

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	225100000X	Physical Therapist	2626	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689621419
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REBOUND PHYSICAL THERAPY, INC.

Provider Business Mailing Address
First Line	:	2700 EAST LAKE STREET
Second Line	:	SUITE 2450
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-2690
Country	:	US
Telephone Number	:	612-436-0777
Fax Number	:	612-436-0779

Provider Business Practice Location Address
First Line	:	2700 EAST LAKE STREET
Second Line	:	SUITE 2450
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-2690
Country	:	US
Telephone Number	:	612-436-0777
Fax Number	:	612-436-0779

Authorized Official
Title or Position	:	CEO
Name	:	MR. MARK T RATTRAY
Credential	:	P.T.
Telephone Number	:	612-436-0777

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	07/26/2013

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Directions to “REBOUND PHYSICAL THERAPY, INC. ” Practice Location

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