| Tyler Anthony Dickinson, DPT | |
|
14884 Kirkwood Dr, Baxter, MN 56425-8451 | |
| (218) 824-5027 | |
| (218) 824-8011 |
| Full Name | Tyler Anthony Dickinson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 10 Years |
| Location | 14884 Kirkwood Dr, Baxter, 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 |
|---|---|---|---|
| 1730634783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 10482 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tria Orthopaedic Center Llc | 3173570561 | 504 |
| Provider Name | Park Nicollet Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Provider Name | Tria Orthopaedic Center LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Anthony Dickinson, DPT 8170 33rd Ave S # Ms 2111oq, Bloomington, MN 55425-4516 Ph: Not Available | Tyler Anthony Dickinson, DPT 14884 Kirkwood Dr, Baxter, MN 56425-8451 Ph: (218) 824-5027 |
Elizabeth Kae Hermanson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14884 Kirkwood Dr, Baxter, MN 56425 Phone: 218-824-5027 |
Select Therapy, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 14884 Kirkwood Drive, Baxter, MN 56425 Phone: 218-824-5027 Fax: 218-824-8011 |
Meredith Hillary Maria Griffin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7350 Clearwater Rd, Baxter, MN 56425 Phone: 218-454-5050 |
Mr. Jeffrey Alan Donatelle, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15620 Edgewood Dr Ste 240, Baxter, MN 56401 Phone: 218-454-7012 Fax: 218-454-7015 |
Kimberly Nan Palkert, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 14884 Kirkwood Dr, Baxter, MN 56425 Phone: 218-824-5027 Fax: 218-824-8011 |
Justin Woitte, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13060 Isle Dr, Baxter, MN 56425 Phone: 218-828-2880 |
Travis Beniak, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13060 Isle Dr, Baxter, MN 56425 Phone: 218-828-2880 |