| Summit Orthopedics Ltd | |
|
710 Commerce Dr Ste 200, Woodbury, MN 55125 | |
| (651) 968-5042 | |
| (651) 968-5904 |
| Full Name | Summit Orthopedics Ltd |
|---|---|
| Type | Facility |
| Speciality | Orthopaedic Surgery |
| Location | 710 Commerce Dr Ste 200, Woodbury, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306899463 | NPI | - | NPPES |
| 352813800 | Medicaid | MN | |
| CP5327 | Other | MN | RAILROAD MEDICARE |
| Provider Name | Daren J Wickum |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073587606 PECOS PAC ID: 2365336484 Enrollment ID: I20040210000941 |
| Provider Name | Kelly S Stadelman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548467228 PECOS PAC ID: 5294621173 Enrollment ID: I20040226000659 |
| Provider Name | Kristoffer M Breien |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194793554 PECOS PAC ID: 7810979127 Enrollment ID: I20040602000084 |
| Provider Name | Susan J Treptau |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598872152 PECOS PAC ID: 1850376781 Enrollment ID: I20040623000912 |
| Provider Name | Cherylann Zurn Schistad |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841307485 PECOS PAC ID: 9931184884 Enrollment ID: I20040623000999 |
| Provider Name | Ray V Coyle |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104932789 PECOS PAC ID: 7416932397 Enrollment ID: I20040623001205 |
| Provider Name | Sarah Louise Lehnert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740238476 PECOS PAC ID: 3971573809 Enrollment ID: I20040728001238 |
| Provider Name | Erik J Ekstrom |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1710917471 PECOS PAC ID: 5890761951 Enrollment ID: I20040909000526 |
| Provider Name | Steven R Sabers |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1285664011 PECOS PAC ID: 4880689066 Enrollment ID: I20041005000921 |
| Provider Name | David H Strothman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881895241 PECOS PAC ID: 0042256844 Enrollment ID: I20050701000453 |
| Provider Name | Edward Tzuen-chien Su |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1033188156 PECOS PAC ID: 6103852306 Enrollment ID: I20050711000366 |
| Provider Name | Kristen Marie Holmen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770552770 PECOS PAC ID: 7214965425 Enrollment ID: I20050729000171 |
| Provider Name | Kevin S Wall |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1508843335 PECOS PAC ID: 3870525462 Enrollment ID: I20050902000639 |
| Provider Name | Amy Ruth Wagner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265520365 PECOS PAC ID: 4486689627 Enrollment ID: I20050927000978 |
| Provider Name | Edward Rg Santos |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659474773 PECOS PAC ID: 1254356389 Enrollment ID: I20051007000731 |
| Provider Name | Leslee H Harper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831118637 PECOS PAC ID: 2668493909 Enrollment ID: I20051214000260 |
| Provider Name | Curtis A Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083727887 PECOS PAC ID: 3678596632 Enrollment ID: I20060105000546 |
| Provider Name | Gerald F Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043270119 PECOS PAC ID: 6002820222 Enrollment ID: I20060126000765 |
| Provider Name | Sean Q Lynch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619988193 PECOS PAC ID: 7719994961 Enrollment ID: I20060313000311 |
| Provider Name | Kelly S Stokes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497868095 PECOS PAC ID: 3779590427 Enrollment ID: I20060321000537 |
| Provider Name | Jack Andrew Drogt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932177060 PECOS PAC ID: 2163324526 Enrollment ID: I20060405000036 |
| Provider Name | Antoinette A Hook |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437105137 PECOS PAC ID: 2769493881 Enrollment ID: I20060605000123 |
| Provider Name | Stacy Diane Sanders |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063468767 PECOS PAC ID: 2567473606 Enrollment ID: I20060605000232 |
| Provider Name | Erik S Stroemer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578515854 PECOS PAC ID: 2668485608 Enrollment ID: I20060717000260 |
| Provider Name | David M Rippe |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609826544 PECOS PAC ID: 6305849647 Enrollment ID: I20060807000181 |
| Provider Name | Eric Arvind Khetia |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427038371 PECOS PAC ID: 2567491897 Enrollment ID: I20060905000349 |
| Provider Name | Andrew Derek Thomas |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1346264058 PECOS PAC ID: 3870525728 Enrollment ID: I20061122000428 |
| Provider Name | Robert O Anderson |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1558477216 PECOS PAC ID: 4183624521 Enrollment ID: I20070108000492 |
| Provider Name | Michael J Forseth |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1700992492 PECOS PAC ID: 4587565791 Enrollment ID: I20070108000509 |
| Provider Name | Erica L Gustafson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306974597 PECOS PAC ID: 1557465218 Enrollment ID: I20070406000078 |
| Provider Name | Kathryn T Maloney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770795601 PECOS PAC ID: 1456459890 Enrollment ID: I20070607000497 |
| Provider Name | Tammy A Chiesa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992895304 PECOS PAC ID: 9830188721 Enrollment ID: I20070801000844 |
| Provider Name | Jeffrey Anthony Furmanek |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508873860 PECOS PAC ID: 9234135625 Enrollment ID: I20070807000521 |
| Provider Name | Philip G Giesen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588632038 PECOS PAC ID: 3274628532 Enrollment ID: I20071001000762 |
| Provider Name | Steven M Stulc |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1730302217 PECOS PAC ID: 8426143439 Enrollment ID: I20071005000514 |
| Provider Name | David W Spight |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1063414845 PECOS PAC ID: 5597737817 Enrollment ID: I20080729000609 |
| Provider Name | Jennifer Kathryn Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174581755 PECOS PAC ID: 0547354201 Enrollment ID: I20080818000679 |
| Provider Name | Aleksandra Siemers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346405719 PECOS PAC ID: 4183790462 Enrollment ID: I20080910000588 |
| Provider Name | Cassandra D Erickson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417111451 PECOS PAC ID: 0547337602 Enrollment ID: I20080916000411 |
| Provider Name | Nicholas J Wills |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548306202 PECOS PAC ID: 3476611542 Enrollment ID: I20081017000339 |
| Provider Name | Stephanie Lynne Kinsella |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316195258 PECOS PAC ID: 9335208537 Enrollment ID: I20081103000435 |
| Provider Name | David G Rickheim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780803577 PECOS PAC ID: 0143389130 Enrollment ID: I20081105000657 |
| Provider Name | Heide Slinde Baker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053568634 PECOS PAC ID: 7911066485 Enrollment ID: I20081112000859 |
| Provider Name | Timothy J Richtsmeier |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821201799 PECOS PAC ID: 2668532573 Enrollment ID: I20081122000059 |
| Provider Name | Angela Marie Voight |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1669646311 PECOS PAC ID: 7012078702 Enrollment ID: I20081213000163 |
| Provider Name | Jackie L Bosshart |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801041447 PECOS PAC ID: 2860555711 Enrollment ID: I20090120000559 |
| Provider Name | John L Kipp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366427601 PECOS PAC ID: 5092879502 Enrollment ID: I20090128000421 |
| Provider Name | Katelyn M Bauer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447488044 PECOS PAC ID: 5698820678 Enrollment ID: I20090826000682 |
| Provider Name | Nathan A Riess |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902033590 PECOS PAC ID: 2860547304 Enrollment ID: I20090904000032 |
| Provider Name | Samuel R Olson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881822203 PECOS PAC ID: 5799830105 Enrollment ID: I20090909000362 |
| Provider Name | Kyle L Hall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942439724 PECOS PAC ID: 8022154574 Enrollment ID: I20091014000115 |
| Provider Name | Lana K S Krumwiede |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629200332 PECOS PAC ID: 5496892523 Enrollment ID: I20091022000354 |
| Provider Name | James Mark Gannon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750359881 PECOS PAC ID: 9739269754 Enrollment ID: I20100331001024 |
| Provider Name | Peter J Daly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023087376 PECOS PAC ID: 2668552688 Enrollment ID: I20100331001221 |
| Provider Name | Peter Michael Parten |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881663805 PECOS PAC ID: 8628158649 Enrollment ID: I20100331001240 |
| Provider Name | Michael Q Freehill |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306894845 PECOS PAC ID: 6103952700 Enrollment ID: I20100408000247 |
| Provider Name | Fozia A Abrar |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912973371 PECOS PAC ID: 2769676857 Enrollment ID: I20101102001501 |
| Provider Name | Jacob R Jenssen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437289659 PECOS PAC ID: 7416137427 Enrollment ID: I20110208001103 |
| Provider Name | Joel Allen Bengtson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932178563 PECOS PAC ID: 0244413003 Enrollment ID: I20110331000879 |
| Provider Name | Caroline Susan Stommes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831407477 PECOS PAC ID: 3678757093 Enrollment ID: I20110409000032 |
| Provider Name | Catherine Mary Boyum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891764411 PECOS PAC ID: 3274717590 Enrollment ID: I20110412000389 |
| Provider Name | Paul R Hendrickson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881663482 PECOS PAC ID: 3072797398 Enrollment ID: I20110412000415 |
| Provider Name | Amanda T Thielen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265401269 PECOS PAC ID: 6608050935 Enrollment ID: I20110412000440 |
| Provider Name | Miriam V Ragab |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356335467 PECOS PAC ID: 0749294114 Enrollment ID: I20111202000114 |
| Provider Name | Robert J Herdzina |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003072562 PECOS PAC ID: 0648445106 Enrollment ID: I20111212000287 |
| Provider Name | Kristin Rochelle Dorn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881825842 PECOS PAC ID: 9739342817 Enrollment ID: I20120530000321 |
| Provider Name | Kirk Leslie Scofield |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1972573566 PECOS PAC ID: 1658312442 Enrollment ID: I20120716000130 |
| Provider Name | Tracy D Rupke |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942498225 PECOS PAC ID: 0941399117 Enrollment ID: I20120821000779 |
| Provider Name | Michael Dominic Castro |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679505044 PECOS PAC ID: 7719925213 Enrollment ID: I20130709000737 |
| Provider Name | Jack Gerard Skendzel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760690580 PECOS PAC ID: 3678741923 Enrollment ID: I20130911000044 |
| Provider Name | Kari D Van Schyndel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124170311 PECOS PAC ID: 1153338660 Enrollment ID: I20131226000634 |
| Provider Name | Stefania Rebecca Debruin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457511842 PECOS PAC ID: 4587897699 Enrollment ID: I20140425000464 |
| Provider Name | Kristin Marie Bentz |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1003239781 PECOS PAC ID: 6709019565 Enrollment ID: I20140430002544 |
| Provider Name | Allison Kay Buth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225437965 PECOS PAC ID: 6800015678 Enrollment ID: I20140910001967 |
| Provider Name | Anna Elizabeth Simonson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619376738 PECOS PAC ID: 8527288844 Enrollment ID: I20141008000199 |
| Provider Name | Jennifer S Blade |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568873933 PECOS PAC ID: 4183845738 Enrollment ID: I20141023000384 |
| Provider Name | Laura N Kramer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093974818 PECOS PAC ID: 3678895703 Enrollment ID: I20141201000768 |
| Provider Name | Mary Lou Orton |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689079386 PECOS PAC ID: 3274851373 Enrollment ID: I20150422001212 |
| Provider Name | Brent T Warner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407081185 PECOS PAC ID: 0840511895 Enrollment ID: I20150603001182 |
| Provider Name | Shayli R Scaletta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285066639 PECOS PAC ID: 2365676285 Enrollment ID: I20150605000920 |
| Provider Name | Barbara A Siefken |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972981827 PECOS PAC ID: 7911228614 Enrollment ID: I20150605002886 |
| Provider Name | Joshua C Feeney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932379328 PECOS PAC ID: 4688752454 Enrollment ID: I20150717001397 |
| Provider Name | Kevin E Lindgren |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467681932 PECOS PAC ID: 2466679048 Enrollment ID: I20150817002049 |
| Provider Name | Amanda E Feeney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730454752 PECOS PAC ID: 2961714027 Enrollment ID: I20150821013926 |
| Provider Name | Tatia J Moller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194198598 PECOS PAC ID: 6901106038 Enrollment ID: I20151123000331 |
| Provider Name | Brian Lee Walters |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114241882 PECOS PAC ID: 8628203502 Enrollment ID: I20151209002182 |
| Provider Name | Kathryn M Milbert |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225495567 PECOS PAC ID: 1557664612 Enrollment ID: I20160122001389 |
| Provider Name | Rachel A Hedden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730536665 PECOS PAC ID: 5294026233 Enrollment ID: I20160622000061 |
| Provider Name | Scott Randall Pepin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841429453 PECOS PAC ID: 8325284516 Enrollment ID: I20160726003013 |
| Provider Name | Dane C Hansen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811217458 PECOS PAC ID: 5092955740 Enrollment ID: I20160727001488 |
| Provider Name | Christie M Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053780486 PECOS PAC ID: 8123313202 Enrollment ID: I20160829001567 |
| Provider Name | Chad T Mcnutt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801343553 PECOS PAC ID: 1254628142 Enrollment ID: I20160920002477 |
| Provider Name | Jared Daniel Venier |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588113740 PECOS PAC ID: 0345538229 Enrollment ID: I20161007001785 |
| Provider Name | Debra Michelle Parisi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285653139 PECOS PAC ID: 3072554195 Enrollment ID: I20161230000053 |
| Provider Name | Catherine Yoonjee Choi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1407174790 PECOS PAC ID: 2860523883 Enrollment ID: I20170119001810 |
| Provider Name | Tracey Baehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316950686 PECOS PAC ID: 2668749292 Enrollment ID: I20170601001580 |
| Provider Name | Andrew M Clary |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1558657726 PECOS PAC ID: 4981857513 Enrollment ID: I20170626000535 |
| Provider Name | David J Kocer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265962112 PECOS PAC ID: 7315218724 Enrollment ID: I20170803001516 |
| Provider Name | Aaron G Theis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972026417 PECOS PAC ID: 4183996945 Enrollment ID: I20170815001283 |
| Provider Name | Trevor C Wahlquist |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225321102 PECOS PAC ID: 5193955623 Enrollment ID: I20170824000558 |
| Provider Name | Michael Richard Anderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437446887 PECOS PAC ID: 2163654427 Enrollment ID: I20170918000692 |
| Provider Name | Nathan Mayernik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235588468 PECOS PAC ID: 0648550699 Enrollment ID: I20171002001886 |
| Provider Name | Cory J Absey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881051829 PECOS PAC ID: 8426354481 Enrollment ID: I20171003006843 |
| Provider Name | Ramana K Towsley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295254183 PECOS PAC ID: 9638444284 Enrollment ID: I20171006000965 |
| Provider Name | Sarah L Nohrenberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538687504 PECOS PAC ID: 7315203635 Enrollment ID: I20171102000475 |
| Provider Name | Maria N Starchook Moore |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1821364290 PECOS PAC ID: 2860797024 Enrollment ID: I20171103000923 |
| Provider Name | Michelle C Ecklund |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841717188 PECOS PAC ID: 3577829019 Enrollment ID: I20171115003845 |
| Provider Name | Michael Lockheart |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1275727257 PECOS PAC ID: 9537228242 Enrollment ID: I20171219003021 |
| Provider Name | Sara Balster |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346738325 PECOS PAC ID: 6002162559 Enrollment ID: I20180713000398 |
| Provider Name | Amanda Hovel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174005821 PECOS PAC ID: 3173874526 Enrollment ID: I20180924001791 |
| Provider Name | Thomas Leonard Dahl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184642373 PECOS PAC ID: 1759484413 Enrollment ID: I20181018001743 |
| Provider Name | Alexandria Ashley Ewy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649745431 PECOS PAC ID: 7618220963 Enrollment ID: I20181102001091 |
| Provider Name | Jose Ramil Obillos Santos |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1821017385 PECOS PAC ID: 4284899808 Enrollment ID: I20190402000001 |
| Provider Name | Cal Leonard Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770076184 PECOS PAC ID: 6002149127 Enrollment ID: I20190605000414 |
| Provider Name | Roman Gabriel Guerrero-maestre |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598103913 PECOS PAC ID: 1951637859 Enrollment ID: I20190731000118 |
| Provider Name | John Patrick Delaney |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1922341932 PECOS PAC ID: 5698077519 Enrollment ID: I20190822001446 |
| Provider Name | Ike Burns Hasley |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1942794540 PECOS PAC ID: 9234487273 Enrollment ID: I20190826001817 |
| Provider Name | Darrian Michelle Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245876622 PECOS PAC ID: 5193158863 Enrollment ID: I20191211000262 |
| Provider Name | Matthew Stephen Nies |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205254364 PECOS PAC ID: 8527281443 Enrollment ID: I20200813003197 |
| Provider Name | Makenna R Pechumer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740807809 PECOS PAC ID: 7012333453 Enrollment ID: I20200817002402 |
| Provider Name | Courtney Taylor Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427667443 PECOS PAC ID: 3577983295 Enrollment ID: I20201020000115 |
| Provider Name | Alicia Mercedes Reardon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083205975 PECOS PAC ID: 3274948047 Enrollment ID: I20210209002638 |
| Provider Name | Jessica Susanne Solfest |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730641887 PECOS PAC ID: 5991110777 Enrollment ID: I20210210000067 |
| Provider Name | Nicholas Dean Plager |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326605809 PECOS PAC ID: 0941536338 Enrollment ID: I20210510000604 |
| Provider Name | Kimberly Candice Abrahams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720065311 PECOS PAC ID: 6406875947 Enrollment ID: I20210513002820 |
| Provider Name | Der Xiong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700465440 PECOS PAC ID: 0547679896 Enrollment ID: I20210517002584 |
| Provider Name | Sarah Ann Meyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255915617 PECOS PAC ID: 0244639417 Enrollment ID: I20210520002850 |
| Provider Name | Keli K Zemke |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699345496 PECOS PAC ID: 8921400888 Enrollment ID: I20210714002666 |
| Provider Name | Jamal James Rocco Beechey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558890137 PECOS PAC ID: 8729340500 Enrollment ID: I20210714003491 |
| Provider Name | Patrick Anthony Morrissey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083285001 PECOS PAC ID: 1153724596 Enrollment ID: I20210722003798 |
| Provider Name | Adam Thacker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386215648 PECOS PAC ID: 8921401068 Enrollment ID: I20210727001143 |
| Provider Name | Samuel David Russ |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518354828 PECOS PAC ID: 6103122064 Enrollment ID: I20210813000888 |
| Provider Name | Daniel Timothy Probst |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1407207483 PECOS PAC ID: 0547685000 Enrollment ID: I20210813002164 |
| Provider Name | Mark Labelle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275923971 PECOS PAC ID: 7214231612 Enrollment ID: I20210908002843 |
| Provider Name | Anthony L Kohlenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033404348 PECOS PAC ID: 7911123302 Enrollment ID: I20210920002724 |
| Provider Name | Tawney R Maul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013684943 PECOS PAC ID: 6507263308 Enrollment ID: I20210921003139 |
| Provider Name | Ariana Peterson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750964391 PECOS PAC ID: 6507264439 Enrollment ID: I20211007001338 |
| Provider Name | Benjamin Todd Nivala |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689337032 PECOS PAC ID: 8729477070 Enrollment ID: I20211108002822 |
| Provider Name | Kelly Greeninger |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033874672 PECOS PAC ID: 0749679652 Enrollment ID: I20211116000241 |
| Provider Name | Ellen Arlene Christensen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003049156 PECOS PAC ID: 0244371763 Enrollment ID: I20220126000451 |
| Provider Name | Megan Michelle Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487313722 PECOS PAC ID: 7810380987 Enrollment ID: I20220214000711 |
| Provider Name | Joshua Andrew Duran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184023160 PECOS PAC ID: 1153718283 Enrollment ID: I20220420001043 |
| Provider Name | Jack Barber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619552874 PECOS PAC ID: 4981091154 Enrollment ID: I20220503000764 |
| Provider Name | Shannon Elizabeth Evenson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770632507 PECOS PAC ID: 0143390500 Enrollment ID: I20220606000870 |
| Provider Name | Michael Otto Hensch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407595069 PECOS PAC ID: 0042699241 Enrollment ID: I20220617002052 |
| Provider Name | Erik Michael Monson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700524923 PECOS PAC ID: 0547649329 Enrollment ID: I20220624001607 |
| Provider Name | Madeline Sophie Scheunemann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417686734 PECOS PAC ID: 9032598669 Enrollment ID: I20220628001084 |
| Provider Name | Mai Moua Vang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558020578 PECOS PAC ID: 8426439563 Enrollment ID: I20220720001451 |
| Provider Name | Lauren Lee Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417301177 PECOS PAC ID: 9739473539 Enrollment ID: I20220726001692 |
| Provider Name | Mikhail Klimstra |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477907129 PECOS PAC ID: 0749575462 Enrollment ID: I20220728000796 |
| Provider Name | Michael Robert Baer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285088773 PECOS PAC ID: 9032403837 Enrollment ID: I20220802001000 |
| Provider Name | Aisha Marie Abdo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447979703 PECOS PAC ID: 6406231794 Enrollment ID: I20220922003122 |
| Provider Name | Andrea L Redmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780304220 PECOS PAC ID: 9133505050 Enrollment ID: I20220929003520 |
| Provider Name | Isabelle Marie Lacosse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215653910 PECOS PAC ID: 5597132480 Enrollment ID: I20221107000811 |
| Provider Name | Meera P Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366164220 PECOS PAC ID: 5799153870 Enrollment ID: I20221121002195 |
| Provider Name | Spencer Warfield |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952970899 PECOS PAC ID: 2264801174 Enrollment ID: I20221216000668 |
| Provider Name | Amanda Mogensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295472009 PECOS PAC ID: 6507238094 Enrollment ID: I20230209001703 |
| Provider Name | Jonathan Albert Klein |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851098503 PECOS PAC ID: 8022481746 Enrollment ID: I20230228002217 |
| Provider Name | Reed Williams |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1265725204 PECOS PAC ID: 6507154259 Enrollment ID: I20230328001409 |
| Provider Name | Emily Jean Davidson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093403412 PECOS PAC ID: 2466817895 Enrollment ID: I20230508001283 |
| Provider Name | Tyler Cogswell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881296499 PECOS PAC ID: 6305202391 Enrollment ID: I20230517002033 |
| Provider Name | David Mc Rae Matson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982137741 PECOS PAC ID: 8022387984 Enrollment ID: I20230614003182 |
| Provider Name | Kevin P Sandhu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356876130 PECOS PAC ID: 6002186038 Enrollment ID: I20230615003814 |
| Provider Name | Andrew E Brooks |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679009344 PECOS PAC ID: 9436429479 Enrollment ID: I20230619001512 |
| Provider Name | Brandon Joseph Kelly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194259143 PECOS PAC ID: 4880963875 Enrollment ID: I20230621000331 |
| Provider Name | Natalie A Zitzer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104518562 PECOS PAC ID: 2769841451 Enrollment ID: I20230628002699 |
| Provider Name | Grace C Yackly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639654239 PECOS PAC ID: 3678932753 Enrollment ID: I20230707000986 |
| Provider Name | Justin Adam Kertis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891470167 PECOS PAC ID: 7618337064 Enrollment ID: I20230717001360 |
| Provider Name | Jenna Karyne Sladek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831876978 PECOS PAC ID: 4880054840 Enrollment ID: I20230721002608 |
| Provider Name | Leila A Pollock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750056941 PECOS PAC ID: 4082095518 Enrollment ID: I20230731001374 |
| Provider Name | Matthew A Tarabochia-gast |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447771365 PECOS PAC ID: 1355614009 Enrollment ID: I20230809001250 |
| Provider Name | Dexter J Leer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295413821 PECOS PAC ID: 0749643419 Enrollment ID: I20230829000057 |
| Provider Name | David John Paulson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477148997 PECOS PAC ID: 8527474634 Enrollment ID: I20230830002012 |
| Provider Name | Monica Newton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306453253 PECOS PAC ID: 6608287180 Enrollment ID: I20231009002256 |
| Provider Name | Kelsey L Overman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801329313 PECOS PAC ID: 2769751767 Enrollment ID: I20231010000295 |
| Provider Name | Jordan Marie Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619759180 PECOS PAC ID: 6406203231 Enrollment ID: I20231115002655 |
| Provider Name | Alex William Pickhinke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508540048 PECOS PAC ID: 0547620692 Enrollment ID: I20240209000878 |
| Provider Name | Nicholas Donald Cayler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437920550 PECOS PAC ID: 7012351539 Enrollment ID: I20240222003443 |
| Provider Name | Abby C Larsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295503837 PECOS PAC ID: 6901242437 Enrollment ID: I20240307000200 |
| Provider Name | Kathleen Hoeppner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922590124 PECOS PAC ID: 5799030169 Enrollment ID: I20240307002802 |
| Provider Name | Alexis Rebekah Smith |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366190134 PECOS PAC ID: 9032505060 Enrollment ID: I20240402000658 |
| Provider Name | Erin Bolinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962998419 PECOS PAC ID: 7517309289 Enrollment ID: I20240527000038 |
| Provider Name | Ryan M Bastyr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063260966 PECOS PAC ID: 1850833831 Enrollment ID: I20240605002479 |
| Provider Name | Ally E Brugler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306691357 PECOS PAC ID: 4688116551 Enrollment ID: I20240606002150 |
| Provider Name | Michaela M Olthoff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366299125 PECOS PAC ID: 1153863618 Enrollment ID: I20240612000884 |
| Provider Name | Viktor Tollemar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073005849 PECOS PAC ID: 6709132921 Enrollment ID: I20240612002846 |
| Provider Name | Connor P Richardson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679139000 PECOS PAC ID: 8224362157 Enrollment ID: I20240618000921 |
| Provider Name | Morgan A Newpower |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861241903 PECOS PAC ID: 9638612120 Enrollment ID: I20240625003308 |
| Provider Name | Timothy G Mcmanus |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649775073 PECOS PAC ID: 1052668399 Enrollment ID: I20240628003563 |
| Provider Name | Jennifer Ann Geske |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184468423 PECOS PAC ID: 1254875859 Enrollment ID: I20240705002357 |
| Provider Name | Connor C Zamzow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952153942 PECOS PAC ID: 5597201566 Enrollment ID: I20240725004474 |
| Provider Name | Samuel Joseph Loveland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023698974 PECOS PAC ID: 5698184745 Enrollment ID: I20240816000704 |
| Provider Name | Douglas W Perkins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093088650 PECOS PAC ID: 5799947693 Enrollment ID: I20240903001283 |
| Provider Name | Jennie E Swanson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972339497 PECOS PAC ID: 0042741258 Enrollment ID: I20240930000235 |
| Provider Name | Sara B Bachenheimer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760200950 PECOS PAC ID: 1052846615 Enrollment ID: I20241120000985 |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Orthopedics Ltd 710 Commerce Dr Ste 200, Woodbury, MN 55125-4925 Ph: (651) 968-5200 | Summit Orthopedics Ltd 710 Commerce Dr Ste 200, Woodbury, MN 55125 Ph: (651) 968-5042 |