| Mary T Outpatient | |
|
11800 Xeon Blvd Nw, Coon Rapids, MN 55448-2061 | |
| (763) 489-3638 | |
| (763) 647-3885 |
| Full Name | Mary T Outpatient |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 11800 Xeon Blvd Nw, Coon Rapids, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396475927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| Provider Name | Carrie Peterson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134232952 PECOS PAC ID: 9739139726 Enrollment ID: I20050127000406 |
| Provider Name | Sarah Dueffert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548713761 PECOS PAC ID: 3274827829 Enrollment ID: I20160804002550 |
| Provider Name | Marci Lynn Pettman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285383216 PECOS PAC ID: 7719365188 Enrollment ID: I20220526001558 |
| Provider Name | Molly Rm Cardosi |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952015653 PECOS PAC ID: 2961873880 Enrollment ID: I20230131003013 |
| Provider Name | Matthew Edin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770081747 PECOS PAC ID: 3678939840 Enrollment ID: I20230512000872 |
| Provider Name | Erin Helgeson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1174224984 PECOS PAC ID: 8022474220 Enrollment ID: I20230512002356 |
| Provider Name | Megan Jensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649760208 PECOS PAC ID: 6901151141 Enrollment ID: I20230927002051 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary T Outpatient 1555 118th Ln Nw Ste 1, Coon Rapids, MN 55448-7500 Ph: (763) 219-7491 | Mary T Outpatient 11800 Xeon Blvd Nw, Coon Rapids, MN 55448-2061 Ph: (763) 489-3638 |
Karen J Higgins, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3111 124th Ave Nw, Suite 200, Coon Rapids, MN 55433 Phone: 763-427-7300 Fax: 763-427-2802 | |
Mrs. Rachel Elaine Satrom, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 320 Coon Rapids Blvd Nw, Suite 200, Coon Rapids, MN 55433 Phone: 763-786-6900 Fax: 763-786-6901 | |
Jennifer Gordon Hakes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-8910 Fax: 763-236-8990 | |
Dr. Jillian Tanych, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Mercy Hospital, 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-8574 Fax: 763-236-8990 | |
Emily Butler Strange, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 | |
Jenna Marie Hunt, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-236-1050 | |
Nancy Marie Barthold, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3833 Coon Rapids Blvd Nw Ste 100, Coon Rapids, MN 55433 Phone: 763-427-8320 Fax: 763-712-5429 |