Viverant, Llc is a
Physical Therapist based in Saint Louis Park, Minnesota. Viverant, Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
3912 Excelsior Blvd, Saint Louis Park, Minnesota. It can be reached at their office (for appointments etc.) via phone at
(952) 835-4512.
NPI number for Viverant, Llc is 1124540968 and their current mailing address is 7825 3rd St N, Ste 105, Oakdale, Minnesota. Viverant, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1124540968.
Healthcare Provider's Profile
| Full Name | Viverant, Llc |
|---|
| Type | Facility |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 3912 Excelsior Blvd, Saint Louis Park, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1124540968
- Provider Enumeration Date: 07/13/2017
- Last Update Date: 06/01/2020
Medical Identifiers
Medical identifiers for Viverant, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124540968 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Viverant, Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Viverant, Llc
7825 3rd St N, Ste 105,
Oakdale, MN 55128-5444
Ph: (952) 835-4512 | Viverant, Llc
3912 Excelsior Blvd,
Saint Louis Park, MN 55416-4709
Ph: (952) 835-4512 |
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