NPIMap

Stacy Wolf, PT, DPT

Individual provider Active NPI Physical Therapist · Hallock, MN

NPI 1942963616 · NPPES record last updated Jul 9, 2024

Key facts

NPI
1942963616
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
Practice address
1010 S Birch Ave
Hallock, MN 56728-4215
Phone
(218) 843-3612
NPI assigned
Oct 19, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles (3 of 5)

OrganizationSpecialtyStatusNew patients
Nalin LLC Physical Therapist Past
since Nov 1, 2022		 Accepting new patients
Pennington Health Services Past Accepting new patients
Hospice of the Red River Valley Past Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Yes

Addresses

Primary practice location

1010 S Birch Ave
Hallock, MN 56728-4215

Mailing address

377 Hoes LN Ste 300
Piscataway, NJ 08854-4138

Other practice location 1

2001 Eastwood Dr
Thief River Falls, MN 56701-4016
Phone (218) 683-8100

Other practice location 2

123 Baken St
Thief River Falls, MN 56701-3903
Phone (218) 681-1675

Other providers in Hallock, MN

All providers in Hallock, MN · Physical Therapist in Minnesota

Sources for this page

Verify at the official NPI Registry.