Roger L Burtraw (NPI# 1588062988, PAC ID# 5395005235) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1588062988 |
| PAC ID by PECOS | 5395005235 |
| Professional Enrollment ID | I20180214000870 |
| Full Name | Roger L Burtraw |
| Organization Legal Name | INFINITE HEALTH COLLABORATIVE PA |
| Address |
4570 Churchill St Suite 300 Shoreview MN 55126-2274 |
| Phone Number | 6514811071 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 1052225042 |
| Number of Group Practice Members | 408 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4570 Churchill St, Suite 300, Shoreview, MN 55126-2274 | 6514811071 | INFINITE HEALTH COLLABORATIVE PA |
| Organization Legal Name | INFINITE HEALTH COLLABORATIVE PA |
| Physicians | 406 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James A Palmer | Physical Therapy | Infinite Health Collaborative Pa | 4100 Minnesota Dr, Edina, MN 55435-5417 |
| Scott J Cichos | Physical Therapy | Infinite Health Collaborative Pa | 3545 Hwy 61 N, Vadnais Heights, MN 55110-5223 |
| Chee N Vang | Physical Therapy | Infinite Health Collaborative Pa | 2700 Vikings Cir, Eagan, MN 55121-1002 |
| Ashley M Rundle | Physical Therapy | Infinite Health Collaborative Pa | 3111 124th Nw Ave, Suite 200, Coon Rapids, MN 55433-4572 |
| Nathan J Dumm | Physician Assistant | Infinite Health Collaborative Pa | 4040 Radio Dr, Woodbury, MN 55129-3237 |
| Nathaniel L Peterson | Physical Therapy | Infinite Health Collaborative Pa | 12982 Valley View Rd, Eden Prairie, MN 55344-3657 |
| Gregory M Deyak | Physical Therapy | Infinite Health Collaborative Pa | 5805 Neal Ave N, Oak Park Heights, MN 55082-2177 |
| Kathryn M Samuelson | Physician Assistant | Infinite Health Collaborative Pa | 8540 Quaday Neave, Otsego, MN 55330-6522 |
| Brianna C Ludtke | Physical Therapy | Infinite Health Collaborative Pa | 8290 University Ave Ne, Suite 100, Fridley, MN 55432-1851 |
| Jenna E Walker | Occupational Therapy | Infinite Health Collaborative Pa | 4695 Shoreline Dr, Spring Park, MN 55384-9715 |
| Street Address |
4570 CHURCHILL ST SUITE 300 |
| City | SHOREVIEW |
| State | MN |
| Zip | 55126-2274 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven P Churchill | Physical Therapy | Infinite Health Collaborative Pa | 4570 Churchill St, Suite 300, Shoreview, MN 55126-2274 |
| Paul R Diekmann | Orthopedic Surgery | Infinite Health Collaborative Pa | 4570 Churchill St, Suite 300, Shoreview, MN 55126-2274 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori D Lukovsky | Chiropractic | 3550 Lexington N Ave, Suite 210, Shoreview, MN 55126 | |
| Bryan Alm | Physical Therapy | Therapy Partners Inc | 404 Hwy 96 W, Suite E, Shoreview, MN 55126-1900 |
| Garrett R Trobec | Family Medicine | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | 404 Hwy 96 W, Shoreview, MN 55126-1901 |
| Lynn C Sedlack | Nurse Practitioner | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | 404 Hwy 96 W, Shoreview, MN 55126-1901 |
| Elizabeth A Detlie | Family Practice | Family Healthservices Minnesota, P.a. | 404 Hwy 96 W, Shoreview, MN 55126-1901 |
| Christian P Anderson | Family Practice | Family Healthservices Minnesota, P.a. | 404 Hwy 96 W, Shoreview, MN 55126-1901 |
| Robert R Weber | Family Practice | Family Healthservices Minnesota, P.a. | 404 Hwy 96 W, Shoreview, MN 55126-1901 |
| Lowell P Magelssen | Chiropractic | 1042 Hwy 96 W, Shoreview, MN 55126-1913 | |
| Jane M Bye | Chiropractic | 500 W Hwy 96 150, Shoreview, MN 55126-1945 | |
| Duane R John | Chiropractic | 4535 Hodgson Rd, Shoreview, MN 55126-1949 | |
| Find all physicians in zip 55126 | |||
| City | SHOREVIEW |
| Zip Code | 55126 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | SHOREVIEW + PHYSICAL THERAPY |
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| 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.