Lil Schroeder Physical Therapy

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

504 Issued in MN

Legal business name

LIL SCHROEDER PHYSICAL THERAPY

Practice address

5200 W 73Rd St
Edina, MN 55439-2204

Phone

(952) 946-6926

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Lil Schroeder, PT

Title

Owner

Phone

(952) 946-6926

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881731982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6925 VALLEY VIEW RD",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554391649",
            "telephone_number": "952-946-6926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 W 73RD ST",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392204",
            "telephone_number": "952-946-6926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIL SCHROEDER PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "LIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-946-6926",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MN",
            "license": "504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "6401451",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BCBS",
            "identifier": "8B832SC",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Hinnenkamp Lienau, PSYD, LP
• Lifeline Health Services LLC
• Lifescan Minnesota LLC
• Dara Cindy Lifschutz, MD
• Naomi Light, M.D.
• Krista Jean Lill, DDS
• Jens Jacob Lillevold, M.D.
• John T Lim, M.D.
• David Lin, M.D.
• Lindamaachllc

• All providers in Edina, MN
• Orthopedic Physical Therapist 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.