Lyudmila I Gitlevich, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A24 Issued in MN

Practice address

800 Boone Ave N
Suite 200
Golden Valley, MN 55345-6100

Phone

(763) 417-8888

NPI assigned

Dec 30, 2010

Last updated

Dec 30, 2010By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293667200000",
    "number": "1508160847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18300 CREEKS BEND DR",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553456100",
            "telephone_number": "952-465-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BOONE AVE N",
            "address_2": "SUITE 200",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "553456100",
            "telephone_number": "763-417-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITLEVICH",
        "first_name": "LYUDMILA",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-30",
        "last_updated": "2010-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith M Giergielewicz, PT
• Darcy Gilbert Burke, L.AC., M.AC.
• Melissa A Gill, PT
• Darrell Ulysses Gillespie, MA, MDIV, LGSW
• Laura Nicole Gilmer, LMFT
• Tessa Gittleman, LMFT
• Tanya Glaser, M.D.
• Gloria J Gallo, P.a.
• Kari Lisabeth Goeden, LMFT
• Golden Health LLC

• Physical Therapy Assistant in Golden Valley, MN
• Providers in Golden Valley, 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 Dec 30, 2010; 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.