PEDIATRIC THERAPY SERVICES INC (NPI# 1376514539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376514539 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC THERAPY SERVICES INC |
| Practice Address |
150 Saint Andrews Ct Suite 310 Mankato MN 56001-8659 |
| Practice Telephone | 5073885437 |
| Practice Fax Number | 5073882108 |
| Mailing Telephone | 5073885437 |
| Mailing Fax Number | 5073882108 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2014-08-22 |
| Authorized Official Name | NANCY D DOBSON (CEO) |
| Authorized Official Telephone | 5073885437 |
| Authorized Official Credential | RPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS SPEECH # | 8G374PE | 01 |
| MN | UCARE OF MN | 123219 | 01 |
| MN | HEALTH PARTNERS, MN | 78430 | 01 |
| MN | BCBS OF MN PT CLINIC # | 8B515PE | 01 |
| MN | BCBS OT CLINIC # | 8G323PE | 01 |
| MN | PREFERRED ONE | PREFERRED ONE | 01 |
| MN | 211329500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700842531 | Pediatric Therapy Services Inc | Speech-Language Pathologist | 7927 Se Orient Drive, Gresham, OR 97080 | 2006-04-21 |
| 1407834021 | Pediatric Therapy Services Inc | Speech-Language Pathologist | 1215 E Orange St, Lakeland, FL 33801 | 2006-01-04 |
| Street Address |
150 SAINT ANDREWS CT SUITE 310 |
| City | MANKATO |
| State | MN |
| Zip Code | 56001-8659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548709363 | Katie Lee Hahn | Speech-Language Pathologist | 150 Saint Andrews Ct, Suite 310, Mankato, MN 56001-8659 | 2017-02-13 |
| 1124574439 | Melissa Hokeness I | Occupational Therapist | 150 Saint Andrews Ct, Suite 310, Mankato, MN 56001-8659 | 2016-08-28 |
| 1285189589 | Heather Johnson | Physical Therapist | 150 Saint Andrews Ct, Suite 310, Mankato, MN 56001-8659 | 2016-08-17 |
| 1659722338 | Amanda Scharfe | Speech-Language Pathologist | 150 Saint Andrews Ct, Suite 310, Mankato, MN 56001-8659 | 2016-06-24 |
| 1902236532 | Lindsay Turner | Occupational Therapist | 150 Saint Andrews Ct, Suite 310, Mankato, MN 56001-8659 | 2013-11-18 |
| 1447500079 | Stephanie Kay Blume | Speech-Language Pathologist | 150 Saint Andrews Ct, Suite 310, Mankato, MN 56001-8659 | 2012-09-11 |
| 1730350802 | Amanda Jean Senal | Occupational Therapist | 150 Saint Andrews Ct, Suite 310, Mankato, MN 56001-8659 | 2008-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
| 1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
| 1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
| 1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
| 1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
| 1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
| 1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
| 1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
| 1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
| 1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
| Find all providers in zip 56001 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912283334 | New Directions for Change | Clinic/Center | 6500 Brooklyn Blvd - Lower Level, Brooklyn Center, MN 55429 | 2011-10-31 |
| 1982922324 | Juel Fairbanks Chemical Dependency Services | Clinic/Center | 804 Albert St N, Saint Paul, MN 55104 | 2010-05-10 |
| 1265784862 | Interventional Pain & Physical Medicine Clinic | Clinic/Center | 2301 Connecticut Ave S, Sartell, MN 56377-2474 | 2012-10-05 |
| 1184768277 | Rice Memorial Hospital | Clinic/Center | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2007-02-20 |
| 1851388920 | Medcentra LLC | Clinic/Center | 225 Smith Ave N, Suite 301, Saint Paul, MN 55102-2534 | 2005-10-04 |
Please comment or provide details below to improve the information on PEDIATRIC THERAPY SERVICES INC.
| 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.