Lake Minnetonka Mobile Wellness, PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

LAKE MINNETONKA MOBILE WELLNESS, PA

Practice address

14604 Woodhaven Rd
Minnetonka, MN 55345-2362

Phone

(952) 222-7886

Fax

(612) 235-7918

NPI assigned

Feb 28, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jason Strandberg, DCNPI 1013149442

Title

Ceo/Medical Director

Phone

(952) 222-7886

Specialties & licenses 1

Addresses

Other names 1

• Lake Minnetonka Mobile Wellness, PA Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Paul Strandberg, D.C.

  • Sports Physician Chiropractor
  • Minnetonka, MN
  • NPI 1013149442
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1093461048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14604 WOODHAVEN RD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553452362",
            "telephone_number": "952-222-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14604 WOODHAVEN RD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553452362",
            "telephone_number": "952-222-7886",
            "fax_number": "612-235-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE MINNETONKA MOBILE WELLNESS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "STRANDBERG",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "952-222-7886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Minnetonka Mobile Wellness, PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jacob A. Lacoursiere, LMFT
• Laurel B Laden, MD
• Erika Ladwig, LPCC
• Antoinette Denise Lafrance, FNP-C
• Mary Watzka Lagaard, RN, CNP
• Lake Minnetonka Orthdontics
• Lakeshore Pediatric Therapy, Inc.
• Lakeside Health Solutions (Mission Prep Healthcare)
• Lakeside Health Solutions (Mission Prep Healthcare)
• Hannah Lakmann

• Physical Medicine & Rehabilitation Physician in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Physical Medicine & Rehabilitation Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.