| Sean M Huscroft, PT, DPT | |
|
9242 Hudson Blvd N Ste 400, Lake Elmo, MN 55042-8701 | |
| (877) 609-0123 | |
| (888) 425-0398 |
| Full Name | Sean M Huscroft |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 9242 Hudson Blvd N Ste 400, Lake Elmo, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316558547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1334061 (Texas) | Secondary |
| 225100000X | Physical Therapist | 13866 (Minnesota) | Primary |
| Provider Name | Source One Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1285007716 PECOS PAC ID: 5698059780 Enrollment ID: O20170309001938 |
| Provider Name | Source 1 Medical Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457016966 PECOS PAC ID: 0840663142 Enrollment ID: O20230308000485 |
| Mailing Address | Practice Location Address |
|---|---|
| Sean M Huscroft, PT, DPT 3500 American Blvd W Ste 300, Bloomington, MN 55431-4442 Ph: (952) 512-5600 | Sean M Huscroft, PT, DPT 9242 Hudson Blvd N Ste 400, Lake Elmo, MN 55042-8701 Ph: (877) 609-0123 |
Emily Clara Jindra Cable, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9242 Hudson Boulevard, #400, Lake Elmo, MN 55042 Phone: 952-835-4512 Fax: 888-425-0398 | |
Molly L Sorenson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8650 Hudson Blvd N, Suite 310, Lake Elmo, MN 55042 Phone: 651-702-6932 | |
Steady Strides Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3394 Lake Elmo Ave N, Lake Elmo, MN 55042 Phone: 651-900-5629 Fax: 651-705-7002 | |
Dr. Matthew Thomas Hirn, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3511 Lake Elmo Ave N Ste 100, Lake Elmo, MN 55042 Phone: 715-432-3608 | |
Samantha Orth, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1161 Manning Ave N, Lake Elmo, MN 55042 Phone: 763-237-4229 | |
Mark Robert Loscheider, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9242 Hudson Blvd N Ste 400, Lake Elmo, MN 55042 Phone: 952-835-4512 Fax: 888-425-0398 |