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General NPI Number Information
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NPI Number | 1518950815
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC INTERVENTION PROGRAMS, INC.
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Dates
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Enumeration Date | 08/23/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 10721 SMETANA RD SUITE 220
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City | MINNETONKA
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State | MN
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Zip | 55343-8080
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Country | US
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Telephone | 952-936-9215
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Fax | 952-936-9942
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Provider Business Mailing Address
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Address Line | 10721 SMETANA RD SUITE 220
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City | MINNETONKA
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State | MN
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Zip | 55343-8080
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Country | US
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Telephone | 952-936-9215
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Fax | 952-936-9942
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PATRICIA C. MONTGOMERY
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Credential | PHD, PT
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Telephone | 952-936-9215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 03158
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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