Healthcare Provider Details

I. General information

NPI: 1306496278
Provider Name (Legal Business Name): MOBILEREHABMN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2019
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 FLYING CLOUD DR STE 213
EDEN PRAIRIE MN
55344-3331
US

IV. Provider business mailing address

6400 FLYING CLOUD DR STE 213
EDEN PRAIRIE MN
55344-3331
US

V. Phone/Fax

Practice location:
  • Phone: 952-457-2811
  • Fax: 855-932-4833
Mailing address:
  • Phone: 952-457-2811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA FINGERMAN
Title or Position: OWNER
Credential: DPT
Phone: 917-545-8454