Lori L. Holmgreen, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

238-019 Issued in WI

Practice address

W9609 Gaylord Rd
Merrillan, WI 54754-7926

Phone

(715) 333-5011

NPI assigned

Apr 10, 2008

Last updated

Apr 10, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lori L. Holmgreen Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• NSH Marshfield LLC

  dba Marshfield Health Services

  • Skilled Nursing Facility
  • Marshfield, WI
  • NPI 1295378123
  NPD (past)

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1336312396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W9609 GAYLORD RD",
            "city": "MERRILLAN",
            "state": "WI",
            "postal_code": "547547926",
            "telephone_number": "715-333-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W9609 GAYLORD RD",
            "city": "MERRILLAN",
            "state": "WI",
            "postal_code": "547547926",
            "telephone_number": "715-333-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMGREEN",
        "first_name": "LORI",
        "middle_name": "L.",
        "credential": "P.T.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "238-019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "HOLMGREEN",
            "middle_name": "L.",
            "credential": "P.T.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lyndsey Jo Skaar

• Physical Therapy Assistant in Merrillan, WI
• Providers in Merrillan, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.