Lymphedema&Physical Medicine Services PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

1522 Issued in MN

Legal business name

LYMPHEDEMA&PHYSICAL MEDICINE SERVICES PA

Practice address

17 Exchange St W
Suite 600
Saint Paul, MN 55102-1045

Phone

(651) 232-2550

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sandra Rosenberg, MD

Title

President

Phone

(651) 451-5949

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lois A Kubitschek, GNP

  • Gerontology Nurse Practitioner
  • Saint Paul, MN
  • NPI 1003900424
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871710947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1558 PARK CIR",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551182745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 EXCHANGE ST W",
            "address_2": "SUITE 600",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551021045",
            "telephone_number": "651-232-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYMPHEDEMA&PHYSICAL MEDICINE SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-451-5949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MN",
            "license": "1522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Song Y Ly
• Soua Khoua Ly, REGISTERED NURSE
• Connor Bern Lyksett, PA-C
• Brandon Casey Lyle, M.D.
• Andrew Lyman-Buttler, MD
• Carmen Lynch, MSW, LGSW
• Margaret McCoy Lynch, MSW, LICSW
• Laura Lynett, MA, LPCC
• Robert Matoba Lynett, LPCC
• Ruth Lynfield, MD

• Physical Medicine & Rehabilitation Physician in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Physical Medicine & Rehabilitation Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.