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General NPI Number Information
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NPI Number | 1386830768
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Entity Type | Organization
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Legal Business Name | GATEWAY PHYSICAL THERAPY, INC
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Dates
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Enumeration Date | 09/19/2007
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 2601 CENTENNIAL DR STE 101
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City | NORTH ST PAUL
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State | MN
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Zip | 55109-3087
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Country | US
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Telephone | 651-748-0372
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Fax |
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Provider Business Mailing Address
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Address Line | 2601 CENTENNIAL DR STE 101
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City | NORTH ST PAUL
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State | MN
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Zip | 55109-3087
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Country | US
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Telephone | 651-748-0372
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | JANE COWLEY
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Credential | PT
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Telephone | 651-748-0372
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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