Carrie Schwegman-Norum, RPT
Individual provider Active NPI Physical Therapist · Bagley, MN
NPI 1104907799 · NPPES record last updated Mar 26, 2015
Key facts
- NPI
- 1104907799
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 6242 (MN)
- Practice address
- 1656 Central St W
Bagley, MN 56621-4357 - Phone
- (218) 694-6640
- Fax
- (218) 694-6380
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6242 | MN | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6242 | MN | Yes |
Addresses
Primary practice location
1656 Central St W
Bagley, MN 56621-4357
Mailing address
408 Lomond Loop
Bagley, MN 56621-8153
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6403732 | Other | MN | MEDICA |
| P00852247 | Other | MN | RR MEDICARE |
| 1104907799 | Medicaid | MN | |
| 616055700 | Medicaid | MN | |
| OS1L7SC | Other | MN | BCBS |
Other providers in Bagley, MN
- Jenna Kae Sagedahl
- Sanford Health of Northern Minnesota
- Sanford Health of Northern Minnesota
- Sanford Health of Northern Minnesota
- Amanda Jo Schmit
- Stacy Marie Sorenson
- Andre Spence
- Brittany Ann Stang
- Stellher Human Services, Inc.
- Lydia Ann Swanson
All providers in Bagley, MN · Physical Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.