Theresa McNamara, PT
Individual provider Active NPI Physical Therapist · Olivia, MN
NPI 1700031333 · NPPES record last updated Nov 24, 2008
Key facts
- NPI
- 1700031333
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5735 (MN)
- Practice address
- 611 E Fairview Ave
Olivia, MN 56277-4213 - Phone
- (320) 523-3470
- NPI assigned
- Nov 24, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5735 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Stone Therapies, Inc | Physical Therapist | Past | Accepting new patients |
| BST Morris LLC | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5735 | MN | Yes |
Addresses
Primary practice location
611 E Fairview Ave
Olivia, MN 56277-4213
Mailing address
820 Roy St
Ortonville, MN 56278-1138
Phone (320) 839-4271
Other providers in Olivia, MN
- Valarie Longhin
- Danelle Loomis
- Jason Chigoro Lee Mabee
- Carin Marie Martinson
- Melissa Ann Marvin
- Joseph Montanaro Jr.
- Moorse Dental PSC
- Mark Moorse
- Bruce B Neumann
- Olivia Ambulance Service, Inc.
All providers in Olivia, MN · Physical Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.