Eagle Therapy LLC

Eagle Therapy LLC is a healthcare organization registered as Developmental Disabilities Clinic/Center in Roseville, MN, holding Type 2 (organization) NPI 1114755923 since 2024. The authorized official on file is Omar Eleye, Ceo.

✓ Active NPI ✓ Valid NPI checksum

NPI	1114755923
Entity type	Organization (Type 2)
Legal business name	Eagle Therapy LLC
Practice address	2745 HERSCHEL ST N, A109, Roseville, MN, 55113
Phone	6145963566
Enumeration date	2024-07-23
Last updated in NPPES	2024-07-23

Authorized official

Name	Omar Eleye
Title	Ceo
Phone	6145963566

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
252Y00000X	Early Intervention Provider Agency	Secondary	—	—
261QD1600X	Developmental Disabilities Clinic/Center	Primary	—	—

Copy-ready billing details

Provider: Eagle Therapy LLC
NPI: 1114755923
Taxonomy: 261QD1600X (Developmental Disabilities Clinic/Center)
Address: 2745 HERSCHEL ST N, A109, Roseville, MN, 55113

Verify this record

Cross-check NPI 1114755923 against the authoritative CMS record: view Eagle Therapy LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-07-23. Verify at npiregistry.cms.hhs.gov.

Where is Eagle Therapy LLC located?

The practice location on file with NPPES is in Roseville, MN.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-07-23.