| Katherine Marie Sustacek, OTR | |
|
1515 Saint Francis Ave, Shakopee, MN 55379-3387 | |
| (952) 403-2001 | |
| Not Available |
| Full Name | Katherine Marie Sustacek |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 28 Years |
| Location | 1515 Saint Francis Ave, Shakopee, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427102714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 101821 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tria Orthopaedic Center Llc | 3173570561 | 461 |
| Provider Name | Tria Orthopaedic Center Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Marie Sustacek, OTR 740 Debbie Ln, Carver, MN 55315-9306 Ph: () - | Katherine Marie Sustacek, OTR 1515 Saint Francis Ave, Shakopee, MN 55379-3387 Ph: (952) 403-2001 |
Emily Enge, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4201 Dean Lakes Blvd, Unit 160, Shakopee, MN 55379 Phone: 612-416-1301 | |
Mrs. Rochelle D Larson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1455 St Francis Ave, St Francis Regional Medical Center, Shakopee, MN 55379 Phone: 952-403-2010 | |
Mrs. Lydia Geary, MSOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1455 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-913-1125 | |
Aegis Group Practice Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1880 Independence Dr, Shakopee, MN 55379 Phone: 479-201-6091 | |
Jessica Haller-chew, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4360 12th Ave E, Shakopee, MN 55379 Phone: 651-968-5300 | |
Jonathan Lindahl, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4360 12th Ave E, Shakopee, MN 55379 Phone: 651-968-5300 |