Active NPI
Hannah Strom, PT
- Physical Therapist
- Lake Elmo, MN
National Provider Identifier
1750940102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11471
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 14741-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Physical Therapy Clinic/Center
- Woodbury, MN
- NPI 1861066789
-
- Clinic/Center
- Stevens Point, WI
- NPI 1144991340
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.