Sports Orthopedic Advanced Rehabilitation, LLC
NPI 1780910802 · Physical Medicine & Rehabilitation Physician · Eagan, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sports Orthopedic Advanced Rehabilitation, LLC is a Physical Medicine & Rehabilitation Physician organization in Eagan, MN (NPI 1780910802).
Provider details
- NPI number
- 1780910802
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Teresa Gurin, President(952) 223-3339
- License
- 39052 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 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 (2)
- 4660 Slater Rd Ste 240Eagan, MN 55122Phone: (952) 223-3339Fax: (952) 314-1401
- 825 Nicollet MallSuite 809Minneapolis, MN 55402-2604Phone: (952) 223-3339Fax: (952) 314-1401
Registry dates
- Enumerated
- 2009-10-23
- Last updated
- 2019-11-07
Frequently asked questions
- What is Sports Orthopedic Advanced Rehabilitation, LLC's NPI number?
- Sports Orthopedic Advanced Rehabilitation, LLC's National Provider Identifier (NPI) is 1780910802, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sports Orthopedic Advanced Rehabilitation, LLC?
- Sports Orthopedic Advanced Rehabilitation, LLC is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Sports Orthopedic Advanced Rehabilitation, LLC located?
- Sports Orthopedic Advanced Rehabilitation, LLC's practice location on file with NPPES is 4660 Slater Rd Ste 240, Eagan, MN 55122.
- What is Sports Orthopedic Advanced Rehabilitation, LLC's phone number?
- The practice phone number listed in the NPPES registry for Sports Orthopedic Advanced Rehabilitation, LLC is (952) 223-3339.
- Does Sports Orthopedic Advanced Rehabilitation, LLC accept Medicare?
- Sports Orthopedic Advanced Rehabilitation, LLC 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 Sports Orthopedic Advanced Rehabilitation, LLC?
- The authorized official listed on Sports Orthopedic Advanced Rehabilitation, LLC's NPPES record is Teresa Gurin, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sports Orthopedic Advanced Rehabilitation, LLC's NPI active?
- Yes — Sports Orthopedic Advanced Rehabilitation, LLC's NPI (1780910802) is active in the NPPES registry as of the last update on 2019-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.