Individual provider Active NPI

Laura Christine Hafemeyer, PT

  • Physical Therapist
  • White Bear Lake, MN
National Provider Identifier
1215225503
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8725 Issued in MN
Practice address
2555 County Road E E # 102
White Bear Lake, MN 55110-4906
Phone
(651) 683-2953
NPI assigned
Jul 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8725 MN Primary

Addresses

Primary practice location

2555 County Road E E # 102
White Bear Lake, MN 55110-4906

Mailing address

2555 County Road E E # 102
White Bear Lake, MN 55110-4906
Phone (651) 683-2953

Other names 1

  • Miss Laura Christine Oelschlager Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220826000831 MN Practitioner - Physical Therapist in Private Practice 1658753587 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Speech Therapy, LLC CurrentSince Jul 25, 2022 Accepting new patients
Advance Occupational Therapy, LLC Physical Therapist CurrentSince Jul 25, 2022 Accepting new patients

Locations

6776 Lake Dr
Ste 220
Lino Lakes, MN 55014
Phone (651) 784-7007

2555 County Road E E
#102
White Bear Lake, MN 55110
Phone (651) 683-2953

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1215225503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 COUNTY ROAD E E # 102",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551104906",
            "telephone_number": "651-683-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 COUNTY ROAD E E # 102",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551104906",
            "telephone_number": "651-683-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFEMEYER",
        "first_name": "LAURA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-20",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "8725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "OELSCHLAGER",
            "middle_name": "CHRISTINE",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in White Bear Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.