Physical Therapy Consultants, Inc.
Organization Active NPI Physical Therapy Clinic/Center · Ham Lake, MN
NPI 1366460719 · NPPES record last updated Feb 20, 2015
Key facts
- NPI
- 1366460719
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- PHYSICAL THERAPY CONSULTANTS, INC.
- Practice address
- 16210 Aberdeen St NE
Ham Lake, MN 55304-5410 - Phone
- (763) 413-0880
- Fax
- (763) 413-0850
- NPI assigned
- Jul 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Amy Lynne Rockstad
- Title
- Director of Operations
- Phone
- (763) 269-8052
Practitioners 32
-
Thomas Battaglia, PT, DPT
-
Brett Black, PT, DPT
-
Kallie J Blaine, DPT
-
Joel C Demaris, PT, DPT
-
Dustin Elmer Eslinger, M.A. R/ATC
-
Renee Amanda Hancock, PT, DPT
-
Lindsey Johnson, RPT
-
Paige Koehne, PT, DPT
-
Samantha Ann Manthey, PT, DPT
-
Hannah Marie Martin, DPT
-
Taavan Li Mielke, PT, DPT
-
Elizabeth Mitsch, PT, DPT, CLT
-
Mark A Netzinger, RPT
-
Robert Roman, M.AC. L.AC
-
Kayla Anne Schindler, DPT
-
Cindy Marie Sjurseth, PTA
-
Jeffrey E Smith, OD
-
Jenna Lyn Szpek, DPT
-
Natalie Thyen, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080715000426 | MN | Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 4082691852 | Practice locations: Andover, MN; Ham Lake, MN; Isanti, MN; North Branch, MN; Ramsey, MN; Saint Francis, MN; Zimmerman, MN |
National Provider Directory
Locations
1574 154th Ave NW
Andover, MN 55304
Phone (763) 433-8108
13831 Round Lake Blvd NW
Andover, MN 55304
Phone (763) 421-0141
139 Main St NW
Bethel, MN 55005
Phone (763) 269-8051
18415 Highway 65 NE
Cedar, MN 55011
Phone (763) 413-0880
16210 Aberdeen St NE
Ste B
Ham Lake, MN 55304
Phone (763) 413-0880
2 Enterprise Ave NE
Ste E4
Isanti, MN 55040
Phone (763) 444-8680
5466 Saint Croix Trl
Ste N
North Branch, MN 55056
Phone (651) 674-7589
7876 Sunwood Dr NW
Ste 200
Ramsey, MN 55303
Phone (612) 367-6110
23212 Saint Francis Blvd NW
Ste 300
Saint Francis, MN 55070
Phone (763) 753-8804
3220 Bridge St NW
Ste 111
Saint Francis, MN 55070
Phone (612) 240-6601
26025 3rd St E
Ste 100
Zimmerman, MN 55398
Phone (763) 482-5270
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
16210 Aberdeen St NE
Ham Lake, MN 55304-5410
Mailing address
139 Main Street
P. O. Box 136
Bethel, MN 55005
Phone (763) 269-8051
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6409001 | Other | MN | MEDICA |
| 633017700 | Medicaid | MN | |
| 04T13NE | Other | MN | BLUE CROSS |
Other names
- Ham Lake Physical Therapy
Other providers in Ham Lake, MN
- Mnmidwife
- Kimberly Nelson
- Oakland Assisted Living LLC
- Oakland Assisted Living LLC
- Jeffrey Peterson
- Michele Marie Revoir
- Royal Crystals LLC
- Leyla Sanati-Zaker
- Karl Ritchie Schlotterbeck
- Kathrine Schmit
All providers in Ham Lake, MN · Physical Therapy Clinic/Center in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.