Interactive Therapy Services of Minnesota Inc
NPI 1083005664 · Speech-Language Pathologist · Plymouth, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Interactive Therapy Services of Minnesota Inc is a Speech-Language Pathologist organization in Plymouth, MN (NPI 1083005664).
Provider details
- NPI number
- 1083005664
- Entity type
- Organization
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Julie Ernest, President/Owner(651) 770-8884
- License
- 6402 (MN)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Functional Kids Clinic
Registry dates
- Enumerated
- 2015-02-18
- Last updated
- 2025-09-02
- Certified
- 2024-12-31
Frequently asked questions
- What is Interactive Therapy Services of Minnesota Inc's NPI number?
- Interactive Therapy Services of Minnesota Inc's National Provider Identifier (NPI) is 1083005664, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Interactive Therapy Services of Minnesota Inc?
- Interactive Therapy Services of Minnesota Inc is classified in the NPPES registry as Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Interactive Therapy Services of Minnesota Inc located?
- Interactive Therapy Services of Minnesota Inc's practice location on file with NPPES is 14425 8th Ave N, Plymouth, MN 55447-4456.
- What is Interactive Therapy Services of Minnesota Inc's phone number?
- The practice phone number listed in the NPPES registry for Interactive Therapy Services of Minnesota Inc is (651) 260-9915.
- Does Interactive Therapy Services of Minnesota Inc accept Medicare?
- Interactive Therapy Services of Minnesota Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Interactive Therapy Services of Minnesota Inc?
- The authorized official listed on Interactive Therapy Services of Minnesota Inc's NPPES record is Julie Ernest, President/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Interactive Therapy Services of Minnesota Inc's NPI active?
- Yes — Interactive Therapy Services of Minnesota Inc's NPI (1083005664) is active in the NPPES registry as of the last update on 2025-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.