Katie Lynn Smedstad (NPI# 1891353389, PAC ID# 5294065546) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1891353389 |
| PAC ID by PECOS | 5294065546 |
| Professional Enrollment ID | I20190930000672 |
| Full Name | Katie Lynn Smedstad |
| Organization Legal Name | VIVERANT LLC |
| Address |
3912 Excelsior Blvd St Louis Park MN 55416-4709 |
| Phone Number | 9528354512 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 9335301662 |
| Number of Group Practice Members | 53 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1029 W Central Entrance, Duluth, MN 55811-5477 | 2186242794 | VIVERANT LLC |
| 1502 E Superior St, Duluth, MN 55812-1634 | 9528354512 | VIVERANT LLC |
| 3912 Excelsior Blvd, St Louis Park, MN 55416-4709 | 9528354512 | VIVERANT LLC |
| Organization Legal Name | VIVERANT LLC |
| Physicians | 56 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Clara Jindra | Physical Therapy | Viverant LLC | 9242 Hudson Blvd N, Suite 400, Lake Elmo, MN 55042-8700 |
| Ian R Borgelt | Physical Therapy | Viverant LLC | 1029 W Central Entrance, Duluth, MN 55811-5477 |
| Marysa Meyer | Physical Therapy | Viverant LLC | 3365 Central Park Commons Dr, Suite 100, Eagan, MN 55121 |
| Alison M Weaver | Physical Therapy | Viverant LLC | 17599 Kenwood Trl, Lakeville, MN 55044-8330 |
| Megan Erickson | Physical Therapy | Viverant LLC | 21034 Heron Way, Suite 102, Lakeville, MN 55044-8094 |
| Nicole Williams | Physical Therapy | Viverant LLC | 3912 Excelsior Blvd, St Louis Park, MN 55416-4709 |
| Jennifer P Bradley | Physical Therapy | Viverant LLC | 3200 Labore Rd, Suite 101, Vadnais Heights, MN 55110-5189 |
| Elissa A Cohen | Physical Therapy | Viverant LLC | 8900 109th Ave N, Suite 700, Champlin, MN 55316-3150 |
| Amy M Boyden Hoekstra | Physical Therapy | Viverant LLC | 12324 Wayzata Blvd, Minnetonka, MN 55305-1919 |
| Jill M Lawrence | Physical Therapy | Viverant LLC | 12324 Wayzata Blvd, Minnetonka, MN 55305-1919 |
| Street Address |
3912 EXCELSIOR BLVD |
| City | ST LOUIS PARK |
| State | MN |
| Zip | 55416-4709 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole Williams | Physical Therapy | Viverant LLC | 3912 Excelsior Blvd, St Louis Park, MN 55416-4709 |
| Kristopher Gerald Balgaard | Physical Therapy | Viverant LLC | 3912 Excelsior Blvd, St Louis Park, MN 55416-4709 |
| Mary Koch | Physical Therapy | Viverant LLC | 3912 Excelsior Blvd, St Louis Park, MN 55416-4709 |
| Meghan A Conrad | Physical Therapy | Viverant LLC | 3912 Excelsior Blvd, St Louis Park, MN 55416-4709 |
| Ann Therese Kaminski | Physical Therapy | Viverant LLC | 3912 Excelsior Blvd, St Louis Park, MN 55416-4709 |
| Bethany Noel Hansen | Physical Therapy | Viverant LLC | 3912 Excelsior Blvd, St Louis Park, MN 55416-4709 |
| Britta Maren Gauthier | Physical Therapy | Viverant LLC | 3912 Excelsior Blvd, St Louis Park, MN 55416-4709 |
| Kristin M Burger | Physical Therapy | Viverant LLC | 3912 Excelsior Blvd, St Louis Park, MN 55416-4709 |
| Emily C Peterson | Physical Therapy | Viverant LLC | 3912 Excelsior Blvd, St Louis Park, MN 55416-4709 |
| Tatiana Madeline Werber | Physical Therapy | Viverant LLC | 3912 Excelsior Blvd, St Louis Park, MN 55416-4709 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marian L Delaney | Physical Therapy | Fairview Health Services | 3033 Excelsior Blvd, Suite 225, Minneapolis, MN 55416-0026 |
| Melissa R Shirriff | Physical Therapy | Fairview Health Services | 3033 Excelsior Blvd, Suite 225, Minneapolis, MN 55416-0026 |
| Harlan F Mittag | Chiropractic | 6311 Wayzata Blvd, Suite 220, St Louis Park, MN 55416-1245 | |
| Keith Alan Vossel | Neurology | University of Minnesota Physicians | 5775 Wayzata Blvd, Suite 255, St Louis Park, MN 55416-1275 |
| Kayla Charlene James | Clinical Social Worker | University of Minnesota Physicians | 5775 Wayzata Blvd, Suite 255, St Louis Park, MN 55416-1275 |
| Shauna Hsiaosan Yuan | Neurology | University of Minnesota Physicians | 5775 Wayzata Blvd, Suite 255, St Louis Park, MN 55416-1275 |
| Christa Joyce Reader | Clinical Social Worker | University of Minnesota Physicians | 5775 Wayzata Blvd, Suite 255, St Louis Park, MN 55416-1275 |
| Scott Curran | Clinical Social Worker | University of Minnesota Physicians | 5775 Wayzata Blvd, Suite 255, St Louis Park, MN 55416-1275 |
| James Ashe | Neurology | University of Minnesota Physicians | 5775 Wayzata Blvd, Minneapolis, MN 55416-1275 |
| Kathryn Ann Gorres Nice | Occupational Therapy | University of Minnesota Physicians | 5775 Wayzata Blvd, Suite 255, St Louis Park, MN 55416-1275 |
| Find all physicians in zip 55416 | |||
| City | ST LOUIS PARK |
| Zip Code | 55416 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | ST LOUIS PARK + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Katie Lynn Smedstad.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.