Eagle Therapy LLC
NPI 1114755923 · Developmental Disabilities Clinic/Center · Roseville, MN
Eagle Therapy LLC is a Developmental Disabilities Clinic/Center organization in Roseville, MN (NPI 1114755923).
Provider details
- NPI number
- 1114755923
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Omar Eleye, Ceo(614) 596-3566
Specialties & taxonomies
Ambulatory Health Care Facilities
- Early Intervention Provider Agency252Y00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Registry dates
- Enumerated
- 2024-07-23
- Last updated
- 2024-07-23
- Certified
- 2024-07-13
Frequently asked questions
- What is Eagle Therapy LLC's NPI number?
- Eagle Therapy LLC's National Provider Identifier (NPI) is 1114755923, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eagle Therapy LLC?
- Eagle Therapy LLC is classified in the NPPES registry as Developmental Disabilities Clinic/Center (Ambulatory Health Care Facilities).
- Where is Eagle Therapy LLC located?
- Eagle Therapy LLC's practice location on file with NPPES is 2745 Herschel St N, Roseville, MN 55113.
- What is Eagle Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Eagle Therapy LLC is (614) 596-3566.
- Who is the authorized official for Eagle Therapy LLC?
- The authorized official listed on Eagle Therapy LLC's NPPES record is Omar Eleye, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eagle Therapy LLC's NPI active?
- Yes — Eagle Therapy LLC's NPI (1114755923) is active in the NPPES registry as of the last update on 2024-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.