Tricia Jean Leafblad, P.T. – Physical Therapist

Key facts

NPI: 1992804579
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 6471 (MN)
Practice address: 15111 Twelve Oaks Center Dr
Minnetonka, MN 55305-5201
Phone: (952) 993-4626
NPI assigned: Sep 21, 2006
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Motioncare, Inc. Physical Therapist · Shoreview, MN · NPI 1851486203

NPD (past) PHYSICAL THERAPIST

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
6471	MN	MD	Physical Therapist

Practice roles

Organization	Specialty	Status	New patients
Motioncare, Inc.	Physical Therapist	Past since Jul 1, 2000	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	6471	MN	Yes

Addresses

Primary practice location

15111 Twelve Oaks Center Dr
Minnetonka, MN 55305-5201

Mailing address

6465 Wayzata Blvd
Ste 315
St Louis Park, MN 55426-1728

Other names

Tricia Kooiman Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992804579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6465 WAYZATA BLVD",
            "address_2": "STE 315",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554261728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15111 TWELVE OAKS CENTER DR",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553055201",
            "telephone_number": "952-993-4626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAFBLAD",
        "first_name": "TRICIA",
        "middle_name": "JEAN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "6471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRICIA",
            "last_name": "KOOIMAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Minnetonka, MN

All providers in Minnetonka, MN · Physical Therapist in Minnesota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.