| Lisa A Smith, OTR/L, CHT | |
|
8540 Quaday Ave Ne, Otsego, MN 55330-6522 | |
| (763) 441-0298 | |
| (763) 441-0591 |
| Full Name | Lisa A Smith |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 24 Years |
| Location | 8540 Quaday Ave Ne, Otsego, 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 |
|---|---|---|---|
| 1790894012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XH1200X | Occupational Therapist - Hand | 102714 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Infinite Health Collaborative, Pa | 1052225042 | 803 |
| Provider Name | Infinite Health Collaborative, Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1164474250 PECOS PAC ID: 1052225042 Enrollment ID: O20040209000574 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa A Smith, OTR/L, CHT 4200 Dahlberg Dr, Suite 300, Golden Valley, MN 55422-4840 Ph: (952) 512-5600 | Lisa A Smith, OTR/L, CHT 8540 Quaday Ave Ne, Otsego, MN 55330-6522 Ph: (763) 441-0298 |
Samantha Jane Young, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 15590 90th St Ne, Otsego, MN 55330 Phone: 763-755-4275 Fax: 763-755-4261 | |
Melanie Deutsch, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15590 90th St Ne, Otsego, MN 55330 Phone: 763-755-4275 Fax: 763-755-4261 | |
Katelyn Elizabeth O'keefe, M.S. OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 8540 Quaday Ave Ne, Otsego, MN 55330 Phone: 763-441-0298 | |
Dr. Nicollet Sue Young, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15590 90th St Ne, Otsego, MN 55330 Phone: 763-755-4275 Fax: 763-356-4105 | |
Deborah Gabel, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 15590 90th St Ne, Otsego, MN 55330 Phone: 763-755-4275 | |
Emily A Boughner, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15590 90th St Ne, Otsego, MN 55330 Phone: 763-755-4275 Fax: 763-755-4261 | |
Kyle Lee Cacho, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15590 90th St Ne, Otsego, MN 55330 Phone: 763-755-4275 |