Bette Jean Luukkonen, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A204 Issued in MN

Practice address

901 9TH St N
Suite 100
Virginia, MN 55792-2325

Phone

(218) 749-9405

Fax

(218) 749-9407

NPI assigned

Mar 27, 2008

Sex

Female

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)

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 and National Provider Directory roles.

• Iron Range Rehabilitation Center

  • Rehabilitation Clinic/Center
  • Virginia, MN
  • NPI 1316098445
  NPD (past)

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1457523672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 9TH ST N",
            "address_2": "SUITE 100",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922325",
            "telephone_number": "218-749-9405",
            "fax_number": "218-749-9407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 9TH ST N",
            "address_2": "SUITE 100",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922325",
            "telephone_number": "218-749-9405",
            "fax_number": "218-749-9407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUUKKONEN",
        "first_name": "BETTE",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Sue Long
• Christina M Lumppio, OT
• Luoma Chiropractic Center P.a.
• Arne Em Luoma, DC
• Sara Luoma, CNP
• Roxanne Lynn Madich
• Timothy M Magee, MD
• Nancy Lee Magnine, PA-C
• Laureen Elvera Mahonen, RN
• Lance Manty, APRN, CRNA

• Physical Therapy Assistant in Virginia, MN
• Providers in Virginia, MN by specialty
• Physical Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.