Individual ProviderEllen Renee KanePhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address550 Osborne Rd NE, Fridley, MN 55432-2718(763) 236-5000(612) 242-2027PECOS EnrollmentBased on the most recent information from CMS, provider Ellen Renee Kane does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1861062812Provider TypeIndividualFull NameKane, Ellen ReneeCredentialPT, DPTGenderFemaleSole ProprietorNoEnumeration Date6/30/2021Last Updated11/10/2021Contact InformationPractice LocationPractice Address550 Osborne Rd NE, Fridley, MN 55432-2718Phone(763) 236-5000FaxUnlisted FaxMailing LocationMailing Address800 E 28th St, Minneapolis, MN 55407-3799Phone(612) 242-2027FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense12231Minnesota