Provider Demographics
NPI:1851137491
Name:RETURN TO PLAY INSTITUTE, LLC
Entity type:Organization
Organization Name:RETURN TO PLAY INSTITUTE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:REBMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:612-940-0971
Mailing Address - Street 1:5275 EDINA INDUSTRIAL BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55439-2916
Mailing Address - Country:US
Mailing Address - Phone:763-270-9330
Mailing Address - Fax:763-299-8621
Practice Address - Street 1:4675 PONCE DE LEON BLVD STE 204
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-2113
Practice Address - Country:US
Practice Address - Phone:305-990-1350
Practice Address - Fax:305-413-5240
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RETURN TO PLAY INSTITUTE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-03
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty