| Dr Scott Gorham, DPT | |
|
7455 Village Dr, Lino Lakes, MN 55014 | |
| (651) 717-3480 | |
| Not Available |
| Full Name | Dr Scott Gorham |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 11 Years |
| Location | 7455 Village Dr, Lino Lakes, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831575299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | 9763 (Minnesota) | Secondary |
| 225100000X | Physical Therapist | 9763 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Infinite Health Collaborative, Pa | 1052225042 | 803 |
| Provider Name | Group Health Plan Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Provider Name | Fairview Health Services |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| 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 |
| Provider Name | Fairview Express Care |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Scott Gorham, DPT 9775 Egret Blvd, Coon Rapids, MN 55433 Ph: (612) 759-7716 | Dr Scott Gorham, DPT 7455 Village Dr, Lino Lakes, MN 55014 Ph: (651) 717-3480 |
Jasmin Carlblom, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6776 Lake Dr, Suite 220, Lino Lakes, MN 55014 Phone: 651-784-7007 | |
Amy Noelle Peterson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6776 Lake Dr Ste 220, Lino Lakes, MN 55014 Phone: 651-784-7007 Fax: 651-784-7992 | |
Susan Elizabeth Kreiner, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 725 Town Center Pkwy, Lino Lakes, MN 55014 Phone: 763-807-0835 | |
Renee Caron, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6776 Lake Dr, Suite 220, Lino Lakes, MN 55014 Phone: 651-784-7007 | |
Maren Russman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7131 Snow Owl Ln, Lino Lakes, MN 55014 Phone: 651-295-3214 | |
Meghan Mary Rietschel, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7455 Village Dr, Lino Lakes, MN 55014 Phone: 651-717-3480 | |
Thomas Tardif Performance Solutions Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6702 E Shadow Lake Dr, Lino Lakes, MN 55014 Phone: 612-643-0019 |