OrganizationActive
Phenom Physical Therapy Inc
NPI 1902255383 · Physical Therapy Clinic/Center · Saint Michael, MN
Provider details
- NPI number
- 1902255383
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Craig Butturff, Owner(320) 543-1104
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
703 Thielen Dr
Saint Michael, MN 55376-9613
Phone: (763) 497-1153
Fax: (763) 497-5256
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 737
Howard Lake, MN 55349-0737
Registry dates
- Enumerated
- 2016-06-07
- Last updated
- 2016-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.