Individual provider Active NPI

Hannah Strom, PT

  • Physical Therapist
  • Lake Elmo, MN
National Provider Identifier
1750940102
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11471 Issued in MN
Practice address
9242 Hudson Blvd
Ste 400
Lake Elmo, MN 55042-8701
Phone
(952) 835-4512
Fax
(952) 516-5655
NPI assigned
Jun 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 14741-24 WI
Physical Therapist 225100000X 11471 MN Primary

Addresses

Primary practice location

9242 Hudson Blvd
Ste 400
Lake Elmo, MN 55042-8701

Mailing address

7825 3Rd St N
Ste 105
Oakdale, MN 55128-5444
Phone (528) 354-5129

Other practice location 1

1000 E Riverview Expy
Wisconsin Rapids, WI 54494-5422
Phone (715) 422-8000

Other practice location 2

1000 E Riverview Expy
Wisconsin Rapids, WI 54494-5422
Phone (715) 422-8000

Other practice location 3

2515 White Bear Ave N Ste A11
Maplewood, MN 55109
Phone (651) 275-4706

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

State licenses

LicenseStateTypeSpecialty
14741-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Awake Pelvic Health and Wellness LLC Current Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1750940102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7825 3RD ST N",
            "address_2": "STE 105",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285444",
            "telephone_number": "528-354-5129",
            "fax_number": "952-516-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9242 HUDSON BLVD",
            "address_2": "STE 400",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550428701",
            "telephone_number": "952-835-4512",
            "fax_number": "952-516-5655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 E Riverview Expy",
            "address_purpose": "LOCATION",
            "city": "Wisconsin Rapids",
            "state": "WI",
            "postal_code": "544945422",
            "country_code": "US",
            "telephone_number": "715-422-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 E Riverview Expy",
            "address_purpose": "LOCATION",
            "city": "Wisconsin Rapids",
            "state": "WI",
            "postal_code": "544945422",
            "country_code": "US",
            "telephone_number": "715-422-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2515 White Bear Ave N Ste A11",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "MN",
            "postal_code": "55109",
            "country_code": "US",
            "telephone_number": "651-275-4706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STROM",
        "first_name": "HANNAH",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "14741-24",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "11471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elmo, MN

Sources for this page

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