# PROFESSIONAL PHYSICAL THERAPY PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Pro Physical Therapy PA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508902636
- **Authorized official:** MICHAEL FRICKE PT (OWNER)
- **Authorized official phone:** (952) 891-2645

## Contact information

- **Practice address:** 13786 FRONTIER CT, \#102, BURNSVILLE, MN 55337
- **Practice address phone:** (952) 891-2645
- **Practice address fax:** (952) 997-3410
- **Mailing address:** 27 MARCIN HILL, BURNSVILLE, MN 55337
- **Mailing address phone:** (952) 891-2645
- **Mailing address fax:** (952) 997-3410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 2187 | MN | Yes |
| 2251X0800X | Orthopedic Physical Therapist | 2187 | MN | — |

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 06/23/2008