| Theresa Plasencia Physical Therapy, Inc. | |
|
1030 County Road E W, Suite 240, Shoreview, MN 55126-8152 | |
| (651) 493-0626 | |
| (651) 493-8463 |
| Full Name | Theresa Plasencia Physical Therapy, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1030 County Road E W, Shoreview, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194919571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5930 (Minnesota) | Primary |
| Provider Name | Theresa Irene Plasencia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770616849 PECOS PAC ID: 0547233249 Enrollment ID: I20040819000274 |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Plasencia Physical Therapy, Inc. 1030 County Road E W, Suite 240, Shoreview, MN 55126-8152 Ph: (651) 493-0626 | Theresa Plasencia Physical Therapy, Inc. 1030 County Road E W, Suite 240, Shoreview, MN 55126-8152 Ph: (651) 493-0626 |
Renee Lynn Miller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4180 Lexington Ave N, Shoreview, MN 55126 Phone: 651-241-1455 | |
Carol Gilligan, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 490 Highway 96 W, Suite 300, Shoreview, MN 55126 Phone: 651-451-3016 | |
Karla Schneider, Physical Therapist Medicare: Medicare Enrolled Practice Location: 490 Highway 96 W, Suite 300, Shoreview, MN 55126 Phone: 651-451-3016 | |
Mr. Rodney Shawn Koehn, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4180 Lexington Ave N, Shoreview, MN 55126 Phone: 651-241-1455 Fax: 651-241-1456 | |
Caroline Moran, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 404 Highway 96 W Ste C, Shoreview, MN 55126 Phone: 651-275-4706 Fax: 651-765-4108 | |
Kelly Lynne Roberts, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4625 Churchill St, Motioncare Shoreview Medical Center Suite 204, Shoreview, MN 55126 Phone: 651-484-6735 |