| Optage Inc | |
|
2945 Lincoln Dr, Roseville, MN 55113-1338 | |
| (651) 631-5415 | |
| Not Available |
| Full Name | Optage Inc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Rehabilitation |
| Location | 2945 Lincoln Dr, Roseville, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801517230 | NPI | - | NPPES |
| Provider Name | Kimberly M Myers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801020458 PECOS PAC ID: 7517019987 Enrollment ID: I20090715000570 |
| Provider Name | Tamara B Long |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346478039 PECOS PAC ID: 2961557194 Enrollment ID: I20090911000193 |
| Provider Name | Katie Jo Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447500657 PECOS PAC ID: 0042462129 Enrollment ID: I20121219000093 |
| Provider Name | Breanna Lynn Rasmussen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437521630 PECOS PAC ID: 9032493226 Enrollment ID: I20170308000010 |
| Provider Name | Kevin Vonruden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144897729 PECOS PAC ID: 8820490154 Enrollment ID: I20210709000503 |
| Provider Name | Carly Marie Wagner |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1457692428 PECOS PAC ID: 5890931232 Enrollment ID: I20220414001874 |
| Provider Name | Rebecca Mae Gilbertson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073734976 PECOS PAC ID: 5294105367 Enrollment ID: I20230105002702 |
| Provider Name | Marc Schultz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417437880 PECOS PAC ID: 9537539606 Enrollment ID: I20230105002794 |
| Provider Name | Jana Weismeyer Tracy |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1790492148 PECOS PAC ID: 7214307396 Enrollment ID: I20230105003019 |
| Provider Name | Abbey Linville |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932578598 PECOS PAC ID: 7315317278 Enrollment ID: I20230110003023 |
| Provider Name | Anna Bernard |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023549235 PECOS PAC ID: 6901277995 Enrollment ID: I20230131001095 |
| Provider Name | Brittany Treichler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669832788 PECOS PAC ID: 1153682810 Enrollment ID: I20230322002451 |
| Provider Name | Joely Wertz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1356637391 PECOS PAC ID: 8325408107 Enrollment ID: I20230712003634 |
| Provider Name | Donna Renee Guimond |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376220285 PECOS PAC ID: 6406216316 Enrollment ID: I20230724001338 |
| Provider Name | Elizabeth Ramos Young |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689351439 PECOS PAC ID: 3173984911 Enrollment ID: I20230726003723 |
| Provider Name | Laura Haala |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174201693 PECOS PAC ID: 2567823131 Enrollment ID: I20230728001907 |
| Provider Name | Melanie Greeninger |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568140085 PECOS PAC ID: 3072974534 Enrollment ID: I20230731002332 |
| Provider Name | Joelle Kay Morowczynski |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1295176477 PECOS PAC ID: 3678935780 Enrollment ID: I20230821003155 |
| Provider Name | Heidi Jo Lehn |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538255450 PECOS PAC ID: 0244684975 Enrollment ID: I20230928001017 |
| Provider Name | Kym Sue Howe |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639362718 PECOS PAC ID: 8921455528 Enrollment ID: I20231103000063 |
| Provider Name | Becky Beese Cassavant |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346014586 PECOS PAC ID: 2860840071 Enrollment ID: I20231129000912 |
| Provider Name | Meagan Rose Zaner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841066651 PECOS PAC ID: 6901256668 Enrollment ID: I20231221002640 |
| Provider Name | Brittney R Retz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912775511 PECOS PAC ID: 0345691184 Enrollment ID: I20240105003278 |
| Provider Name | Danielle Erler |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336847490 PECOS PAC ID: 4385096924 Enrollment ID: I20240118003200 |
| Provider Name | Laura Rae Murray |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639933963 PECOS PAC ID: 3375989254 Enrollment ID: I20240314000040 |
| Provider Name | Ann Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033329008 PECOS PAC ID: 6002253465 Enrollment ID: I20240320003053 |
| Provider Name | Kristina Fiedler |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1629443635 PECOS PAC ID: 7012356538 Enrollment ID: I20240417001401 |
| Provider Name | Kristin Suzanne Soderholm |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487931622 PECOS PAC ID: 5395185094 Enrollment ID: I20240429001507 |
| Provider Name | Susan Holmquist |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518712751 PECOS PAC ID: 9537500210 Enrollment ID: I20240513001022 |
| Provider Name | Catherine Penelope Rivard-sherman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154640654 PECOS PAC ID: 5799227674 Enrollment ID: I20240606002531 |
| Provider Name | Austin A Boyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063230118 PECOS PAC ID: 5991237455 Enrollment ID: I20241022002975 |
| Provider Name | Jeanne Marie Unglesbee |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770307860 PECOS PAC ID: 1759816788 Enrollment ID: I20241127000811 |
| Provider Name | Heather Berglund |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295039311 PECOS PAC ID: 0244751774 Enrollment ID: I20250312003098 |
| Provider Name | Scott Kissner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497472229 PECOS PAC ID: 1658893128 Enrollment ID: I20250313003865 |
| Provider Name | Andrea Finch |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831985290 PECOS PAC ID: 8820514094 Enrollment ID: I20250430002294 |
| Mailing Address | Practice Location Address |
|---|---|
| Optage Inc 2845 Hamline Ave N, Roseville, MN 55113-7127 Ph: () - | Optage Inc 2945 Lincoln Dr, Roseville, MN 55113-1338 Ph: (651) 631-5415 |