Garrett Estenson, PT, DPT, MBA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7516 Issued in MN

Practice address

301 Highway 65 S
Mora, MN 55051-1899

Phone

(320) 225-3356

Fax

(320) 225-3370

NPI assigned

Nov 13, 2006

Last updated

Feb 3, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gestenson202308@excellian.direct.allina.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pokegama Physical Therapy Consultants, LLC

  • Physical Therapist
  • Grand Rapids, MN
  • NPI 1497947600
  NPD (past)
• Pokegama Physical Therapy, LLC

  • Physical Therapist
  • Grand Rapids, MN
  • NPI 1487980488
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1215008263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HIGHWAY 65 S",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550511899",
            "telephone_number": "320-225-3356",
            "fax_number": "320-225-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HIGHWAY 65 S",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550511899",
            "telephone_number": "320-225-3356",
            "fax_number": "320-225-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTENSON",
        "first_name": "GARRETT",
        "credential": "PT, DPT, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "7516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eagle's Crossing Adult Day Center (Mora Eaglet)
• East Central Behavioral Health LLC
• Tasha Eggert, LADC
• Jacob Ryan Ellingson, MSPT, SCS, ATC, CSCS
• Barbara Lou Ennis, NP
• Sara Lee Estenson, PT
• Jodie M Evenson, LADC
• Siegfried Feierabend, MD
• Lindsey Deborah Fielder, NP
• Wynonah Filla, PA-C

• Physical Therapist in Mora, MN
• Providers in Mora, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.