Gregory Lynn Santema, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1638 Issued in MN

Practice address

11855 Ulysses St NE
Suite 20
Blaine, MN 55434-3947

Phone

(763) 767-3140

Fax

(763) 767-3146

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Multicenter Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Spring Lake Park, MN
  • NPI 1346287158
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1861585853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 HIGHWAY 65 NE",
            "city": "SPRING LAKE PARK",
            "state": "MN",
            "postal_code": "554322832",
            "telephone_number": "763-784-3155",
            "fax_number": "763-784-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11855 ULYSSES ST NE",
            "address_2": "SUITE 20",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554343947",
            "telephone_number": "763-767-3140",
            "fax_number": "763-767-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTEMA",
        "first_name": "GREGORY",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "1638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5438161-00",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Edward Sandell, ATC
• Kristi Anne Sandford, REGISTERED NURSE
• Kevin Paul Sandhu, MD
• Kalpana V Sanmugam, LADC
• Laurie Jean Sansom, LPC, LCPC, LPCC
• Sara Werner LLC
• Carol L Sarpal, MD
• Nicole Satzinger, PHARMD
• Faith Monyanon Saygbe
• Ty Cole Schaper, PHARM. D

• Physical Therapist in Blaine, MN
• Providers in Blaine, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.