Active NPI
Laura Gengler Neitge
- Orthopedic Physical Therapist
- Woodbury, MN
National Provider Identifier
1669902961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Practice address
- 155 Radio Dr.
Woodbury, MN 55125 - Phone
- (952) 831-8742
- NPI assigned
- Jun 19, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
155 Radio Dr.
Woodbury, MN 55125
Mailing address
10300 City Walk Dr Unit 322
Woodbury, MN 55129-6946
Other practice location 1
3800 American Blvd W # 200
Bloomington, MN 55431-4420
Phone (952) 831-8742
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tria Orthopaedic Center LLC | Current | Accepting new patients | |
| Tria Orthopaedic Center LLC | Current | Accepting new patients |
Locations
3800 American Blvd W
#200
Bloomington, MN 55431
8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 831-1626
155 Radio Dr
Woodbury, MN 55125
Phone (952) 883-6212
Organizations & group practices 2
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.
-
- Ambulatory Surgical Clinic/Center
- Minneapolis, MN
- NPI 1053314013
-
- Orthopaedic Surgery Physician
- Bloomington, MN
- NPI 1518273085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1669902961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10300 CITY WALK DR UNIT 322",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551296946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 RADIO DR.",
"city": "WOODBURY",
"state": "MN",
"postal_code": "55125",
"telephone_number": "952-831-8742"
}
],
"practiceLocations": [
{
"address_1": "3800 American Blvd W # 200",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "MN",
"postal_code": "554314420",
"country_code": "US",
"telephone_number": "952-831-8742",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEITGE",
"first_name": "LAURA",
"middle_name": "GENGLER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-19",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.