LAKES AREA HEALTH CENTER, PLLC (NPI# 1851887780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851887780 |
| Entity Type | Organization |
| Organization Name | LAKES AREA HEALTH CENTER, PLLC |
| Practice Address |
360 Sherman St Ste 400 Saint Paul MN 55102-2425 |
| Mailing Address |
967 Lake St S Forest Lake MN 55025-2616 |
| Practice Telephone | 6512251102 |
| Practice Fax Number | 6129771208 |
| Mailing Telephone | 6514641113 |
| Mailing Fax Number | 6514640853 |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-07-03 |
| Authorized Official Name | RICHARD VINCENT OTTOMEYER (OWNER) |
| Authorized Official Telephone | 6514641113 |
| Authorized Official Credential | DC |
| Is Organization Subpart | Y |
| Parent Organization Name | LAKES AREA HEALTH CENTER, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578059408 | Lakes Area Health Center, Pllc | Physical Therapist | 8232 Highway 65 Ne, Spring Lake Park, MN 55432-2095 | 2018-07-03 |
| 1467948398 | Lakes Area Health Center, Pllc | General Practice | 8232 Highway 65 Ne, Spring Lake Park, MN 55432-2095 | 2018-07-03 |
| 1902392830 | Lakes Area Health Center, Pllc | General Practice | 360 Sherman St Ste 400, Saint Paul, MN 55102-2425 | 2018-07-03 |
| 1467403030 | Lakes Area Health Center, Pllc | Clinic/Center | 967 Lake St S, Forest Lake, MN 55025 | 2006-05-16 |
| Street Address |
360 SHERMAN ST STE 400 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55102-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972980852 | Geriatric & Rehabilitation Consultants Ein | Specialist | 360 Sherman St Ste 400, Saint Paul, MN 55102-2425 | 2015-04-30 |
| 1689150120 | Lakes Area Health System | Clinic/Center | 360 Sherman St Ste 400, Saint Paul, MN 55102-2425 | 2018-07-18 |
| 1023594215 | Emily Jean Peterson | Chiropractor | 360 Sherman St Ste 400, Saint Paul, MN 55102 | 2018-07-11 |
| 1902392830 | Lakes Area Health Center, Pllc | General Practice | 360 Sherman St Ste 400, Saint Paul, MN 55102-2425 | 2018-07-03 |
| 1255865267 | Lakes Area Health Center | Clinic/Center | 360 Sherman St Ste 400, Saint Paul, MN 55102-2425 | 2017-04-17 |
| 1881057651 | James Bradley Dietz | Chiropractor | 360 Sherman St Ste 400, Saint Paul, MN 55102 | 2016-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| Find all providers in zip 55102 | ||||
| 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 |
|---|---|---|---|---|
| 1760024509 | Ethan Hedges Capers | Physical Therapist | 755 Prior Ave N Ste 235e, Saint Paul, MN 55104-1063 | 2019-10-14 |
| 1518518653 | Deborah A Kramer | Physical Therapist | 506 Kenny Rd # 100, Saint Paul, MN 55130-4555 | 2019-09-20 |
| 1326509381 | Kathleen Van Zeeland | Physical Therapist | 2155 Ford Pkwy # 107, Saint Paul, MN 55116-2799 | 2019-03-30 |
| 1831657428 | Ashleigh Kratz | Physical Therapist | 400 Wabasha St N, Saint Paul, MN 55102-1142 | 2019-03-04 |
| 1376091801 | Kevin Kosel | Physical Therapist | 2200 University Ave W Ste 140, Saint Paul, MN 55114-1844 | 2016-09-13 |
| 1114379401 | Megan Marie O'connor | Physical Therapist | 908 Grand Ave, Apt #206, Saint Paul, MN 55105-3072 | 2016-07-11 |
| 1417314881 | Step Ahead Therapy of Roseau, Inc. | Physical Therapist | 1959 Sloan Pl Ste 230, Saint Paul, MN 55117-2072 | 2016-01-15 |
| 1316323033 | Heather Nicole Anderson | Physical Therapist | 506 Kenny Rd Ste 100, Saint Paul, MN 55130-4555 | 2015-08-04 |
| 1295118131 | Anna Hagens | Physical Therapist | 1522 Hague Ave Apt 1, Saint Paul, MN 55104-6758 | 2015-07-08 |
| 1669862843 | Great Metropolitan Backrub | Physical Therapist | 762 Cleveland Ave S, Saint Paul, MN 55116-1347 | 2015-01-27 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55102 |
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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.