Sora Pediatric Therapy - Medicare Speech-Language Pathologist in Andover, MN

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Sora Pediatric Therapy is a medicare enrolled "Speech-language Pathologist" provider in Andover, Minnesota. Their current practice location is 1891 Station Pkwy Nw, Andover, Minnesota. You can reach out to their office (for appointments etc.) via phone at (763) 755-4275.

Sora Pediatric Therapy is licensed to practice in Minnesota (license number 7012) and it also participates in the medicare program. Sora Pediatric Therapy is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1235285966.

Contact Information

Sora Pediatric Therapy
1891 Station Pkwy Nw,
Andover, MN 55304
(763) 755-4275
(763) 755-4261

Map and Direction




Healthcare Provider's Profile

Full NameSora Pediatric Therapy
TypeFacility
SpecialitySpeech-language Pathologist
Location1891 Station Pkwy Nw, Andover, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235285966
  • Provider Enumeration Date: 01/26/2007
  • Last Update Date: 01/07/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8022335397
  • Enrollment ID: O20150325001650

Medical Identifiers

Medical identifiers for Sora Pediatric Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235285966NPI-NPPES
01043879OtherMNPREFERRED ONE
150165800MedicaidMN
73G75FAOtherMNBLUE CROSS BLUE SHIELD
99915OtherMNHEALTHPARTNERS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist (* (Not Available))Secondary
235Z00000XSpeech-language Pathologist 7012 (Minnesota)Primary
261QP2000XClinic/center - Physical Therapy (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Sora Pediatric Therapy acts as a billing entity for following providers:
Provider NameKristin L Connell
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1336244375
PECOS PAC ID: 7113923434
Enrollment ID: I20061010000529
Provider NamePamela S Lundequam
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063598605
PECOS PAC ID: 8527068238
Enrollment ID: I20070103000219
Provider NameKatherine I Wacker
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720285638
PECOS PAC ID: 3971699745
Enrollment ID: I20071010000341
Provider NameAndria Marie Davis
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1487043865
PECOS PAC ID: 2567789522
Enrollment ID: I20150331002902
Provider NameMelissa S Lonsky
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1013063213
PECOS PAC ID: 0446577720
Enrollment ID: I20150417000906
Provider NameEmily J Jung
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1447532494
PECOS PAC ID: 4183938509
Enrollment ID: I20150729009552
Provider NameMolly M Nordberg
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1508275207
PECOS PAC ID: 5597079913
Enrollment ID: I20150729009704
Provider NameAlicia J Marten
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1841414794
PECOS PAC ID: 4981918208
Enrollment ID: I20150730013539
Provider NameKelly L Hungaski
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1235357898
PECOS PAC ID: 9234273863
Enrollment ID: I20150730013822
Provider NameSarah S Biers
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1154313161
PECOS PAC ID: 1355655507
Enrollment ID: I20150731014785
Provider NameCarrie L Jerylo
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1770629297
PECOS PAC ID: 9830404961
Enrollment ID: I20150818004918
Provider NameJessica L Naiberg
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1215208939
PECOS PAC ID: 9032410006
Enrollment ID: I20151216000876
Provider NameSarah N Zinkel
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1437335643
PECOS PAC ID: 7416258942
Enrollment ID: I20151229000262
Provider NameJennifer A Schwalbach
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1932463379
PECOS PAC ID: 3971805052
Enrollment ID: I20160106001615
Provider NameKristine S Vogtlin
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1558816470
PECOS PAC ID: 9032406525
Enrollment ID: I20160927002347
Provider NameLaura M Bollig
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1144778044
PECOS PAC ID: 7012298540
Enrollment ID: I20161221001176
Provider NameLeeann Rae Kyriakides
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1285681247
PECOS PAC ID: 0143503946
Enrollment ID: I20170201001092
Provider NameDeborah L Gabel
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1164949178
PECOS PAC ID: 9537435680
Enrollment ID: I20171018000823
Provider NameKathryn E Perovich
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1871012815
PECOS PAC ID: 1355617333
Enrollment ID: I20171018001913
Provider NameSaige Baker-lietz
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1417460809
PECOS PAC ID: 8022376490
Enrollment ID: I20171213002464
Provider NameSara Jesse Gleason
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457871956
PECOS PAC ID: 5597023721
Enrollment ID: I20171218001079
Provider NameAnne Catherine Mugaas
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1982103289
PECOS PAC ID: 7012279748
Enrollment ID: I20180316001886
Provider NameCourtney Lyn Sanocki
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1497299499
PECOS PAC ID: 6608130596
Enrollment ID: I20180430002422
Provider NameKaylin Horne
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1134631682
PECOS PAC ID: 9638428584
Enrollment ID: I20180827000046
Provider NameEllen Johnson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1073096608
PECOS PAC ID: 9234481375
Enrollment ID: I20181017003177
Provider NameMaria Faye Davis
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1760984181
PECOS PAC ID: 3173875242
Enrollment ID: I20181018000502
Provider NameKerri Mulder
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1245718535
PECOS PAC ID: 1850645177
Enrollment ID: I20181126001261
Provider NameBryden Giving
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1144794413
PECOS PAC ID: 0648510693
Enrollment ID: I20190329000111
Provider NameNicole Rechtzigel
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1558921064
PECOS PAC ID: 8022340413
Enrollment ID: I20191105000923
Provider NameMichelle A Deremer
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1326697756
PECOS PAC ID: 5395177919
Enrollment ID: I20191119002365
Provider NameLaura L Jaeger
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326684556
PECOS PAC ID: 7810321965
Enrollment ID: I20191223001720
Provider NameRaina Demarais
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1700416914
PECOS PAC ID: 3173953684
Enrollment ID: I20200424001332
Provider NameLindsey Hove
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1932732179
PECOS PAC ID: 0749610194
Enrollment ID: I20200427000000
Provider NameAlissa Deardorff
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1528693785
PECOS PAC ID: 4082045745
Enrollment ID: I20200513000027
Provider NameJaidyn Johnson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1376178442
PECOS PAC ID: 8022449750
Enrollment ID: I20200513003241
Provider NameAmy Brisson
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1235741604
PECOS PAC ID: 3870910102
Enrollment ID: I20200901000524
Provider NameAlexi Mercedes Leclaire
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1679129795
PECOS PAC ID: 9638400534
Enrollment ID: I20200901000931
Provider NameStephanie Frey
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1992353882
PECOS PAC ID: 8729405972
Enrollment ID: I20200902001008
Provider NameElsie Mcclelland
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1518592625
PECOS PAC ID: 6507285947
Enrollment ID: I20201002002715
Provider NameAndrea Christ
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1780285072
PECOS PAC ID: 9739592395
Enrollment ID: I20201229001121
Provider NameLindsey Koosman
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1710535604
PECOS PAC ID: 0941614523
Enrollment ID: I20210121001814
Provider NamePaige Melby
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1417550898
PECOS PAC ID: 3678988342
Enrollment ID: I20210211001123
Provider NameShelly Sontag-johnson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1164018263
PECOS PAC ID: 5193130391
Enrollment ID: I20210222001577
Provider NameVictoria Shear
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1710589023
PECOS PAC ID: 2466867304
Enrollment ID: I20210226000971
Provider NameAbby Rose Kargul
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1427679992
PECOS PAC ID: 4385050335
Enrollment ID: I20210317000784
Provider NameTaylor M Grootwassink
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1811572936
PECOS PAC ID: 5890103972
Enrollment ID: I20210412000225
Provider NameEllen Stowe
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1205411428
PECOS PAC ID: 0840609541
Enrollment ID: I20210510002514
Provider NameMelody Koerselman
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1346828548
PECOS PAC ID: 8426467135
Enrollment ID: I20210511000266
Provider NameMariel Leigh Goettsch
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1902158132
PECOS PAC ID: 8325457963
Enrollment ID: I20210511001540
Provider NameBrittany Wickoren
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1215515424
PECOS PAC ID: 0042619280
Enrollment ID: I20210520001622
Provider NameKathryn Rubinchik
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1669734638
PECOS PAC ID: 1759689805
Enrollment ID: I20210707000905
Provider NameAlyssa Besch
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1972117463
PECOS PAC ID: 7911301718
Enrollment ID: I20210802000388
Provider NameAndrea Zeng
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1386216711
PECOS PAC ID: 0244634830
Enrollment ID: I20210804000701
Provider NameNatalie J Frier
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1205397726
PECOS PAC ID: 6507260890
Enrollment ID: I20210809002906
Provider NameNicole Marie Chisholm
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1013592542
PECOS PAC ID: 2961810510
Enrollment ID: I20210809003052
Provider NameCourtney Wagner
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1023680451
PECOS PAC ID: 3870997018
Enrollment ID: I20210810001294
Provider NameKimberlee B Gross
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1164701074
PECOS PAC ID: 6002212842
Enrollment ID: I20210902002189
Provider NameRoxana Isabel Chirinos
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1366119638
PECOS PAC ID: 4789081951
Enrollment ID: I20210930002371
Provider NameMolly O'donnell Nicolai
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1609206119
PECOS PAC ID: 2668860636
Enrollment ID: I20211025000265
Provider NameAshely Ka Zoua Xiong
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1487318572
PECOS PAC ID: 9234527847
Enrollment ID: I20211102000285
Provider NameSydney M Brock
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1508354325
PECOS PAC ID: 2668863259
Enrollment ID: I20211215000364
Provider NameCarlene Osweiler
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1558027284
PECOS PAC ID: 4082006085
Enrollment ID: I20220125002889
Provider NameSarah Sneltjes
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770249401
PECOS PAC ID: 5991198210
Enrollment ID: I20220209002762
Provider NameMorgan Evitts
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1669138384
PECOS PAC ID: 8628462587
Enrollment ID: I20220218002169
Provider NameMadecyn Caroline Franz
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1700495587
PECOS PAC ID: 9335534098
Enrollment ID: I20220315001867
Provider NameJennifer Anne Jordan
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1851617575
PECOS PAC ID: 3577959568
Enrollment ID: I20220330002285
Provider NameEvelyn L Mueggenberg
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1649913468
PECOS PAC ID: 6709264104
Enrollment ID: I20220525001505
Provider NameLucy M Zeihen
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1770226441
PECOS PAC ID: 7012395411
Enrollment ID: I20220525001674
Provider NameAmber Bauer
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1255097986
PECOS PAC ID: 5597143909
Enrollment ID: I20220525001974
Provider NameKendra Mertes
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1750033593
PECOS PAC ID: 8224416516
Enrollment ID: I20220526002643
Provider NameMorgan Marie Voss
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1699224923
PECOS PAC ID: 0941688238
Enrollment ID: I20220526002672
Provider NameKiley Hogg
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1245723105
PECOS PAC ID: 7911385208
Enrollment ID: I20220526002761
Provider NameAutumn Dose
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1356074140
PECOS PAC ID: 8729463310
Enrollment ID: I20220919000510
Provider NameMolly Pybas
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1578296372
PECOS PAC ID: 8921483546
Enrollment ID: I20220919001765
Provider NameEmelia Miner
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548988900
PECOS PAC ID: 9335524966
Enrollment ID: I20220919002082
Provider NameTaylor Freese
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1497488209
PECOS PAC ID: 2860877495
Enrollment ID: I20220919002192
Provider NameAllyson Hansen Rogers
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1649903444
PECOS PAC ID: 4688059215
Enrollment ID: I20220919002198
Provider NameKallie Medenwald
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1649903451
PECOS PAC ID: 2668857194
Enrollment ID: I20220919002665
Provider NameKaley Rae Anderson
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1780233536
PECOS PAC ID: 8729463252
Enrollment ID: I20220919002739
Provider NameStephanie Olson
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1568195360
PECOS PAC ID: 7810372364
Enrollment ID: I20220919003250
Provider NameHannah Smoker
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1972221331
PECOS PAC ID: 8527443076
Enrollment ID: I20220919003292
Provider NameSydney Lenz
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1699493056
PECOS PAC ID: 5890170344
Enrollment ID: I20220919003334
Provider NameJessica Blum
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1326766783
PECOS PAC ID: 2062897549
Enrollment ID: I20220920001190
Provider NameSara Dasler
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1518685973
PECOS PAC ID: 9335524834
Enrollment ID: I20220920002162
Provider NameGrace Bestler
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1437877891
PECOS PAC ID: 2567847080
Enrollment ID: I20220920002906
Provider NameAshley Stephens
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1700519519
PECOS PAC ID: 6507242948
Enrollment ID: I20221007001794
Provider NameCallie Aho
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1376266197
PECOS PAC ID: 2668841230
Enrollment ID: I20221205000912
Provider NameCassandra Wald
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1801225685
PECOS PAC ID: 0749650349
Enrollment ID: I20221222001789
Provider NameAlyssa Smith
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1881239143
PECOS PAC ID: 4183094790
Enrollment ID: I20221222001949
Provider NameKristina Dose
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1033834775
PECOS PAC ID: 5890165419
Enrollment ID: I20221222002504
Provider NameMaria Miller
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1437865052
PECOS PAC ID: 0648644229
Enrollment ID: I20230322000701
Provider NameSuzanne Berg
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1124723416
PECOS PAC ID: 2466817614
Enrollment ID: I20230424001197
Provider NameCaitlyn Bath
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1629770144
PECOS PAC ID: 4880059484
Enrollment ID: I20230504001023
Provider NameHolly Shilling
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952001208
PECOS PAC ID: 4082070214
Enrollment ID: I20230515000782
Provider NameClaire Oberle
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1306405428
PECOS PAC ID: 5193181212
Enrollment ID: I20230516001878
Provider NameJacqueline Jeziorski
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1386362747
PECOS PAC ID: 8628434594
Enrollment ID: I20230518001891
Provider NameSadie George
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1629768874
PECOS PAC ID: 4284090879
Enrollment ID: I20230524002701
Provider NameHailey Nelson
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1801529607
PECOS PAC ID: 6002272549
Enrollment ID: I20230525001323
Provider NameMontana Nelson
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1306537899
PECOS PAC ID: 4284093675
Enrollment ID: I20230703001176
Provider NameHannah Arason
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1669157202
PECOS PAC ID: 5092174896
Enrollment ID: I20230711001549
Provider NameBrittany Erickson
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1174217459
PECOS PAC ID: 7911366729
Enrollment ID: I20230711001803
Provider NameMichelle Macgillivray
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1346926755
PECOS PAC ID: 6800255647
Enrollment ID: I20230711002708
Provider NameMegan Dierking
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1003591652
PECOS PAC ID: 7315307097
Enrollment ID: I20230712003985
Provider NameJordan Enevold
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1851076202
PECOS PAC ID: 4981064565
Enrollment ID: I20230713003240
Provider NameHaley Lipscomb
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1487248019
PECOS PAC ID: 6406216035
Enrollment ID: I20230714000804
Provider NameLydia Nemeth
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1740973080
PECOS PAC ID: 6002277993
Enrollment ID: I20230725000954
Provider NameMadeline Wells
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1497449979
PECOS PAC ID: 7113388935
Enrollment ID: I20230726002401
Provider NameAshley Sprain
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073292322
PECOS PAC ID: 9931560463
Enrollment ID: I20230801001382
Provider NameLoran Hawkins
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1245918515
PECOS PAC ID: 9133580327
Enrollment ID: I20230803004026
Provider NameMorgan Heilman
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1508543315
PECOS PAC ID: 4789047754
Enrollment ID: I20230824001836
Provider NameAlison O'sadnick
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1225774060
PECOS PAC ID: 6002279486
Enrollment ID: I20230901000494
Provider NameMadeline Clubb
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1447944749
PECOS PAC ID: 1254795149
Enrollment ID: I20230911003407
Provider NameInga Rohde
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1144908930
PECOS PAC ID: 2365806296
Enrollment ID: I20230912000753
Provider NameLaura Marie Jakes
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1730841081
PECOS PAC ID: 4486008117
Enrollment ID: I20230928001202
Provider NameAndrea Konz
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1609653344
PECOS PAC ID: 8224482971
Enrollment ID: I20230928001895
Provider NameSarah Mcgoldrick
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1770267916
PECOS PAC ID: 2668829581
Enrollment ID: I20231114001198
Provider NameKristine Girbe
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1932972445
PECOS PAC ID: 6204286826
Enrollment ID: I20231222001097
Provider NameEllison Rose Schmillen
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1912775982
PECOS PAC ID: 0042660094
Enrollment ID: I20240103001876
Provider NameRachel Evavold
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1689444234
PECOS PAC ID: 4880047661
Enrollment ID: I20240129000951

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sora Pediatric Therapy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sora Pediatric Therapy
1891 Station Pkwy Nw,
Andover, MN 55304

Ph: (763) 755-4275		Sora Pediatric Therapy
1891 Station Pkwy Nw,
Andover, MN 55304

Ph: (763) 755-4275

Reviews and Comments


Speech-Language Pathologist in Andover, MN

Megan Dierking,
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    
Mrs. Melissa Sue Lonsky, CCC-SLP, OM
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 13750 Crosstown Dr Nw, Andover, MN 55304
Phone: 763-755-4275    Fax: 763-755-4261
Courtney Wagner,
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    
Kristina Dose, MA, SLLP-CF/DE
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    Fax: 763-755-4261
Ms. Kelsey Anne Wegner, M.A., CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    
Nicole Morrissey,
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-350-0371    
Kayla Braun,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    

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