OrganizationActive
Breakthrough Therapy Center, LLC
NPI 1053022756 · Early Intervention Provider Agency · Rochester, MN
Provider details
- NPI number
- 1053022756
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Hamid Mohamed, Ceo/President(612) 707-7530
Specialties & taxonomies
Agencies
Practice location
2720 Superior Dr Nw Ste 101
Rochester, MN 55901-1775
Phone: (952) 212-0358
Fax: (612) 326-6160
Approximate (ZIP-level) locationGet directions
Mailing address
2001 Killebrew Dr Ste 112
Bloomington, MN 55425-1871
Registry dates
- Enumerated
- 2022-12-13
- Last updated
- 2024-06-04
- Certified
- 2024-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.