Fairview Express Care
Fairview Express Care is a healthcare organization registered as Physical Therapy Clinic/Center in Minneapolis, MN, holding Type 2 (organization) NPI 1407834302 since 2006. The authorized official on file is Robert Mccoy, Vp Revenue Management.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1407834302 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Fairview Express Care |
| Other name | <Unavail> |
| Practice address | 2600 39TH AVE NE, STE 220, Minneapolis, MN, 55421 |
| Phone | 6127890417 |
| Fax | 6127890522 |
| Enumeration date | 2006-01-03 |
| Last updated in NPPES | 2023-01-16 |
Authorized official
| Name | Robert Mccoy |
|---|---|
| Title | Vp Revenue Management |
| Phone | 6126726594 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | Secondary | — | — |
| 261QP2000X | Physical Therapy Clinic/Center | Primary | — | MN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 240725600 | Medicaid | MN | — |
| 240725612 | Medicaid | MN | — |
| 240725605 | Medicaid | MN | — |
| 240725614 | Medicaid | MN | — |
| 240725616 | Medicaid | MN | — |
| 240725601 | Medicaid | MN | — |
| 240725615 | Medicaid | MN | — |
| 240725619 | Medicaid | MN | — |
| 240725627 | Medicaid | MN | — |
| 240725603 | Medicaid | MN | — |
| 240725617 | Medicaid | MN | — |
| 240725618 | Medicaid | MN | — |
| 240725623 | Medicaid | MN | — |
| 240725626 | Medicaid | MN | — |
| 240725602 | Medicaid | MN | — |
| 240725609 | Medicaid | MN | — |
| 240725611 | Medicaid | MN | — |
| 240725621 | Medicaid | MN | — |
| 240725625 | Medicaid | MN | — |
| 207168200 | Medicaid | MN | — |
Copy-ready billing details
Provider: Fairview Express Care NPI: 1407834302 Taxonomy: 261QP2000X (Physical Therapy Clinic/Center) Address: 2600 39TH AVE NE, STE 220, Minneapolis, MN, 55421
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1093751323 | Mark Bixby | Individual | Family Medicine Physician | Minneapolis, MN |
| 1053347179 | Silver Lake Clinic | Organization | Primary Care Clinic/Center | St Anthony, MN |
| 1518973924 | John Rackliffe | Individual | Physician Assistant | Minneapolis, MN |
| 1841209111 | Christopher Antolak | Individual | Family Medicine Physician | Minneapolis, MN |
| 1578667259 | Lynn Olejniczak | Individual | Physical Therapist | Minneapolis, MN |
| 1750461547 | Diana Liu | Individual | Family Medicine Physician | Minneapolis, MN |
| 1013097815 | Patrick Loew | Individual | Physician Assistant | Minneapolis, MN |
| 1417037227 | Suzanne Pauly | Individual | Family Medicine Physician | Minneapolis, MN |
Verify this record
Cross-check NPI 1407834302 against the authoritative CMS record: view Fairview Express Care 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
Where is Fairview Express Care located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-01-16.