Loon State Physical Therapy
NPI 1194314401 · Physical Therapy Clinic/Center · Minneapolis, MN
Loon State Physical Therapy is a Physical Therapy Clinic/Center organization in Minneapolis, MN (NPI 1194314401).
Provider details
- NPI number
- 1194314401
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Andrew Eccles, Owner(612) 805-2676
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 2400 N 2nd St Ste 108Minneapolis, MN 55411-2243Phone: (612) 405-8503
Registry dates
- Enumerated
- 2021-01-12
- Last updated
- 2021-01-12
- Certified
- 2021-01-12
Frequently asked questions
- What is Loon State Physical Therapy's NPI number?
- Loon State Physical Therapy's National Provider Identifier (NPI) is 1194314401, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Loon State Physical Therapy?
- Loon State Physical Therapy is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Loon State Physical Therapy located?
- Loon State Physical Therapy's practice location on file with NPPES is 4420 Drew Ave S, Minneapolis, MN 55410-1337.
- What is Loon State Physical Therapy's phone number?
- The practice phone number listed in the NPPES registry for Loon State Physical Therapy is (612) 405-8503.
- Who is the authorized official for Loon State Physical Therapy?
- The authorized official listed on Loon State Physical Therapy's NPPES record is Andrew Eccles, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Loon State Physical Therapy's NPI active?
- Yes — Loon State Physical Therapy's NPI (1194314401) is active in the NPPES registry as of the last update on 2021-01-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.