HEATHER A SORUM (NPI# 1144265513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144265513 |
| Entity Type | Individual |
| Full Name | HEATHER A SORUM |
| Credential | MPT |
| Practice Address |
1245 Washington Ave Detroit Lakes MN 56501 |
| Mailing Address |
2510 Cherry Hill Dr Detroit Lakes MN 56501-8063 |
| Practice Telephone | 2188462000 |
| Mailing Telephone | 7016408645 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2018-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 6245 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | 1104 | ND | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | MEDICA # | 6404053 | 01 |
| ND | AMERICA'S PPO/ARAZ # | 778237 | 01 |
| ND | LHS # | ND400023 | 01 |
| ND | MNBS # | 74G75SO | 01 |
| ND | NDBS # | 17702 | 01 |
| ND | HEALTHPARTNERS # | HP38646 | 01 |
| ND | NDBS # | 17701 | 01 |
| MN | 1144265513 | 05 | |
| MN | MNBS # | 72D46SO | 01 |
| ND | MNBS # | 00F70SO | 01 |
| MN | NDBS # | 18166 | 01 |
| ND | 58998 | 05 | |
| ND | MEDICA # | 6401666 | 01 |
| ND | PREFERRED ONE # | DA9011040527 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1245 Washington Ave, Detroit Lakes, MN 56501 | 2188462000 | |
| 275 11th St S, Wahpeton, ND 580754655 | 7016422000 | 7016714106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801850524 | Heather J Sorum | Nurse Practitioner | 721 American Ave Ste 205, Prohealth Care Diabetes Center, Waukesha, WI 53188-5071 | 2006-04-12 |
| Street Address |
1245 WASHINGTON AVE |
| City | DETROIT LAKES |
| State | MN |
| Zip Code | 56501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871582643 | Mark David Lindquist | Family Medicine | 1245 Washington Ave, Detroit Lakes, MN 56501 | 2005-10-14 |
| 1467013896 | Jessica Rosenau | Physical Therapist | 1245 Washington Ave, Detroit Lakes, MN 56501-3905 | 2019-06-26 |
| 1538513155 | Molly Marie Anderson | Family Medicine | 1245 Washington Ave, Detroit Lakes, MN 56501-3905 | 2016-04-20 |
| 1073975462 | Max Disse | Dermatology | 1245 Washington Ave, Detroit Lakes, MN 56501-3905 | 2016-03-24 |
| 1578950887 | Mathew Malek | Surgery | 1245 Washington Ave, Detroit Lakes, MN 56501-3923 | 2015-04-24 |
| 1811391915 | Kathyrn J Moe | Nutritionist | 1245 Washington Ave, Detroit Lakes, MN 56501-3905 | 2014-10-17 |
| 1740683796 | Tina Mcdonald | Occupational Therapist | 1245 Washington Ave, Detroit Lakes, MN 56501-3905 | 2014-10-06 |
| 1457799652 | Leah M Hochstein | Nurse Practitioner | 1245 Washington Ave, Detroit Lakes, MN 56501-3905 | 2013-06-10 |
| 1508109661 | Mary Jane Richter | Audiologist | 1245 Washington Ave, Detroit Lakes, MN 56501-3905 | 2013-03-27 |
| 1982941860 | Angela M Weaver | Occupational Therapist | 1245 Washington Ave, Detroit Lakes, MN 56501-3905 | 2013-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265649 | Candace Louise Haugtvedt | Pharmacist | 321 Us-10 West, Detroit Lakes, MN 56501 | 2020-11-05 |
| 1679068407 | Strive Chiropractic Detroit Lakes LLC | Chiropractor | 1852 Nodaway Drive, Detroit Lakes, MN 56501 | 2018-06-25 |
| 1194215830 | Jordan James Reese | Registered Nurse | 1295 Bay Ridge Dr, Detroit Lakes, MN 56501 | 2018-05-17 |
| 1992179386 | Compassion House | Substance Abuse Rehabilitation Facility | 811 8th St. Se, Detroit Lakes, MN 56501 | 2015-11-23 |
| 1720344286 | Lakes Crisis & Resource Center | Clinic/Center | 1339 Pelican Lane, Detroit Lakes, MN 56501 | 2012-04-09 |
| 1063657120 | Diane Jean Mccormack | Occupational Therapist | 15840 Long Lake Road, Detroit Lakes, MN 56501 | 2008-12-03 |
| 1588817928 | Darcy Caleb Olson | Counselor | 925 Lake Ave, Detroit Lakes, MN 56501 | 2008-10-29 |
| 1760651079 | Rapidcare Urgent Care Pllc | Family Medicine | 1361 Wenner Road, Detroit Lakes, MN 56501 | 2008-02-21 |
| 1427274729 | Jeffrey C Gregory | Psychologist | 910 Lincoln Ave, Detroit Lakes, MN 56501 | 2007-04-17 |
| 1144364894 | Midwest Vision Centers Inc | Eyewear Supplier (Equipment, not the service) | 830 Washington Avenue, Detroit Lakes, MN 56501 | 2007-02-16 |
| Find all providers in zip 56501 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508325788 | Sonia Elisa Santoyo | Physical Therapist | Eh Home Care West-dl, 114 Frazee Street East, Detroit Lakes, MN 55601 | 2019-03-18 |
| 1649227257 | Nancy Rutledge Haggart | Physical Therapist | 633 Shorewood Dr, Detroit Lakes, MN 56501-4601 | 2006-05-28 |
| 1467013896 | Jessica Rosenau | Physical Therapist | 1245 Washington Ave, Detroit Lakes, MN 56501-3905 | 2019-06-26 |
| 1437717618 | Connor J Camrud | Physical Therapist | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2019-06-03 |
| 1477029221 | Jordan S Bjorhus | Physical Therapist | 1040 Lincoln Ave, Detroit Lakes, MN 56501-3508 | 2018-10-19 |
| 1124509500 | Patricia Marie Stalberger | Physical Therapist | 1415 Madison Ave, Detroit Lakes, MN 56501-4542 | 2018-08-24 |
| 1538681168 | Whitney T Grabow | Physical Therapist | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2017-07-14 |
| 1043741820 | Monica Kemper | Physical Therapist | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2017-03-23 |
| 1417495912 | Matthew Johnson | Physical Therapist | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2017-02-03 |
| 1043663123 | Kelsey Wilberg | Physical Therapist | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2016-07-13 |
| Find all providers in DETROIT LAKES | ||||
| City | DETROIT LAKES |
| Zip Code | 56501 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.