Centre Rehab PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CENTRE REHAB PC

Practice address

308 Oak St S Ste 101
Sauk Centre, MN 56378-1565

Phone

(320) 351-4075

NPI assigned

Oct 14, 2021

Organization subpart

No

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

Authorized official

Name

Lisa Marie Lahr, DPTNPI 1891464301

Title

Owner

Phone

(320) 293-3724

Specialties & licenses 1

Addresses

Other names 1

• CENTRE REHAB PC Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 3

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

• Lisa Marie Lahr

  • Physical Therapist
  • Sauk Centre, MN
  • NPI 1891464301
  Medicare reassignment Care Compare group NPD Authorized official
• Janet Lynn Byland, OTR/L

  • Occupational Therapist
  • Sauk Centre, MN
  • NPI 1831357821
  Medicare reassignment Care Compare group NPD
• Brianna Victoria Cooper, DPT

  • Physical Therapist
  • Sauk Centre, MN
  • NPI 1346939030
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1942963269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38354 US HIGHWAY 71",
            "city": "SAUK CENTRE",
            "state": "MN",
            "postal_code": "563788430",
            "telephone_number": "320-293-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 OAK ST S STE 101",
            "city": "SAUK CENTRE",
            "state": "MN",
            "postal_code": "563781565",
            "telephone_number": "320-351-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRE REHAB PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "LAHR",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-293-3724",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRE REHAB PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Marie Bueckers
• Janet Lynn Byland, OTR/L
• Centracare Health System - Sauk Centre
• Centracare Health System - Sauk Centre
• Centracare Health System - Sauk Centre
• City of Sauk Centre
• Coborns Inc
• Sarah Josephine Kate Cook, MD
• Brianna Victoria Cooper, DPT
• Alayna D Cronk, D.C.

• Physical Therapy Clinic/Center in Sauk Centre, MN
• Providers in Sauk Centre, MN by specialty
• Physical Therapy Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.