Gundersen Clinic, LTD.

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

Legal business name

GUNDERSEN CLINIC, LTD.

Practice address

111 E Riverfront St
Winona, MN 55987-3456

Phone

(608) 782-7300

NPI assigned

Jun 8, 2006

Organization subpart

Yes

Parent organization

GUNDERSEN CLINIC, LTD.As reported in NPPES

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

Authorized official

Name

Kari B Adank

Title

Cco

Phone

(608) 775-8025

Specialties & licenses 2

Addresses

Other names 1

• GL WINONA CLINIC Other name

Part of

La Liberte-Gundersen VI

Locations

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1588604342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E RIVERFRONT ST",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559873456",
            "telephone_number": "608-782-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNDERSEN CLINIC, LTD.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUNDERSEN CLINIC, LTD.",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "ADANK",
        "authorized_official_first_name": "KARI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "608-775-8025"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GL WINONA CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bridget Guillien
• Morgan Gulbranson
• Katelyn Faye Gullickson
• Gundersen Clinic LTD
• Gundersen Clinic, LTD.
• Gundersen Lutheran Medical Center Inc
• Kaitlyn Amelia Gunderson
• Sadie Gunderson
• Sheila A Hadaway, DO
• Greta Kathryn Hagen

• Sports Physical Therapist in Winona, MN
• Providers in Winona, MN by specialty
• Sports Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.